SANDRA PITTMAN SIMMONS (NPI# 1609420876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609420876 |
| Entity Type | Individual |
| Full Name | SANDRA PITTMAN SIMMONS |
| Credential | NP-C |
| Practice Address |
5665 Barber Cir Hahira GA 31632-2498 |
| Practice Telephone | 2292920130 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN093806 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891124749 | Sandra Denise Simmons | Counselor | 5577 Whittaker Rd, Ypsilanti, MI 48197-9752 | 2013-11-01 |
| 1164053930 | Sandra Simmons | Pharmacist | 37340 Five Mile Rd, Livonia, MI 48154-1800 | 2020-01-30 |
| 1285899906 | Sandra June Simmons | Social Worker | 4402 Vance Jackson Rd Ste 112, San Antonio, TX 78230-5333 | 2008-07-22 |
| 1174729339 | Sandra Kay Simmons | Speech-Language Pathologist | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2007-06-25 |
| 1265565899 | Sandra Gail Simmons | Social Worker | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2007-03-13 |
| 1265597660 | Sandra Diana Simmons I | Counselor | 25 Staniford St, Boston, MA 02114-2503 | 2006-12-26 |
| 1235213919 | Sandra Jean Simmons | Psychiatry & Neurology | 567 E Hargett St, Raleigh, NC 27601-1517 | 2006-10-25 |
| 1184634305 | Sandra Simmons | Pediatrics | 2835 Fort Missoula Rd, Missoula Valley Pediatrics Ste 205, Missoula, MT 59804 | 2006-08-09 |
| 1851363469 | Sandra K Simmons | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2006-02-07 |
| Street Address |
5665 BARBER CIR |
| City | HAHIRA |
| State | GA |
| Zip Code | 31632-2498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568912194 | Jennifer Washington | Counselor | 6675 Brookridge Drive, Hahira, GA 31632 | 2016-10-06 |
| 1730537044 | Kimberly Graham | Speech-Language Pathologist | 815 Kristen Lane, Hahira, GA 31632 | 2016-05-26 |
| 1740585934 | J.h. Harvey Co., LLC | Durable Medical Equipment & Medical Supplies | 775 Ga Hwy 122 W, Hahira, GA 31632 | 2011-01-19 |
| 1205990546 | South Health District | Public Health or Welfare | 503 W Main St, Hahira, GA 31632-1028 | 2006-12-21 |
| 1114420387 | Lindsey Baker Childress | Registered Nurse | 815 E Main St, Hahira, GA 31632-1058 | 2018-03-14 |
| 1154690337 | Henry Young Tillman IIi | Dentist | 950 Hwy 122 W, Hahira, GA 31632-1061 | 2011-12-18 |
| 1821007642 | Kit Harold Robinson | Dentist | 950 Ga Highway 122 W, Hahira, GA 31632-1061 | 2006-08-08 |
| 1972076396 | John Thomas Rust | Pharmacist | 775 Ga Highway 122 W, Hahira, GA 31632-1066 | 2019-01-08 |
| 1861039703 | Amanda Stankiewicz | Pharmacist | 775 Ga Highway 122 W, Hahira, GA 31632-1066 | 2019-12-10 |
| 1831513910 | Samson Merger Sub LLC | Durable Medical Equipment & Medical Supplies | 775 Ga Highway 122 W, Hahira, GA 31632-1066 | 2014-02-10 |
| Find all providers in zip 31632 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164802799 | Ashley Greene | Nurse Practitioner | 4732 San Saba Dr, Hahira, GA 31632-2620 | 2015-06-09 |
| 1700270519 | Sarah Merree Peek | Nurse Practitioner | 209 E Main St, Hahira, GA 31632-1121 | 2015-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.