MICHAEL THOMAS SIMMONS (NPI# 1629242037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629242037 |
| Entity Type | Individual |
| Full Name | MICHAEL THOMAS SIMMONS |
| Credential | PA-C, MSPAS |
| Practice Address |
14089 Abercorn St Savannah GA 31419-1966 |
| Mailing Address |
2451 Fillingim St Rm 714 Mobile AL 36617-2238 |
| Practice Telephone | 9123502129 |
| Practice Fax Number | 9123502145 |
| Mailing Telephone | 2514717117 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2016-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | L.4246R | AL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0657PA | 05 | |
| GA | 996498837C | 05 | |
| GA | 996498837D | 05 | |
| GA | RR MEDICARE | P00610148 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528358355 | Michael Jay Simmons | Physical Therapist | 2740 Nautical Way, Villa Rica, GA 30180-8490 | 2011-04-13 |
| 1760784219 | Michael Anthony Simmons | Registered Nurse | 1414 N Austin Blvd, 3w, Oak Park, IL 60302-1174 | 2010-12-02 |
| 1740591841 | Michael D Simmons | Respiratory Therapist, Registered | 1303 Savannah Dr, Panama City, FL 32405-4858 | 2010-06-24 |
| 1225160989 | Michael Lee Simmons | Dentist | 1485 Main St Ste 102, Saint Helena, CA 94574-1850 | 2007-03-09 |
| 1326109034 | Michael D Simmons | Dentist | 1601 Davie Avenue, Statesville, NC 28677 | 2006-12-13 |
| 1043315864 | Michael R. Simmons | Family Medicine | 1026 N Highway 69, Frontenac, KS 66763-8100 | 2006-09-14 |
| 1801828462 | Michael P Simmons | Chiropractor | 3800 Watt Avenue, Suite 120, Sacramento, CA 95821-2622 | 2006-07-06 |
| 1770571788 | Michael Simmons | Massage Therapist | 19971 Back Nine Dr, Boca Raton, FL 33498-4706 | 2005-10-12 |
| 1225023344 | Michael Grayson Simmons | Urology | 750 Byron Rd, Scottsboro, AL 35769-4051 | 2005-09-14 |
| 1518567387 | Michael Simmons | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-29 |
| Street Address |
14089 ABERCORN ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437181112 | Daniel Paul Decamp | Family Medicine | 14089 Abercorn St, Savannah, GA 31419-1966 | 2006-07-06 |
| 1871109017 | Stephanie Green | Nurse Practitioner | 14089 Abercorn St, Savannah, GA 31419-1966 | 2020-09-22 |
| 1811417454 | Theresa Hope Hill | Registered Nurse | 14089 Abercorn St, Savannah, GA 31419-1966 | 2017-06-25 |
| 1659776391 | Amy Craven Harrelson | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2014-10-23 |
| 1962817601 | Applecare Memorial Immediate Care Joint Venture LLC | Clinic/Center | 14089 Abercorn St, Savannah, GA 31419-1966 | 2014-06-20 |
| 1952642290 | Mppg, Inc. | Emergency Medicine | 14089 Abercorn St, Savannah, GA 31419-1966 | 2013-03-12 |
| 1417296898 | Jennifer Boyd Bootle | Nurse Practitioner | 14089 Abercorn St, Savannah, GA 31419-1966 | 2013-02-05 |
| 1730316001 | Emily Ann Baise-shuman | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-06-15 |
| 1366684318 | Hayley Hasty Lesuer | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-04-06 |
| 1407098189 | Lindsay T Abernethy | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962042556 | Pooja Vinay Patel | Student in an Organized Health Care Education/Training Program | 1 Harvest Ln, Savannah, GA 31411-2116 | 2020-01-10 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1629541818 | Brittany Sue Walker | Student in an Organized Health Care Education/Training Program | 10 Rivermist Ln, Savannah, GA 31410-2524 | 2019-01-10 |
| 1548737786 | John Thomas Muller | Student in an Organized Health Care Education/Training Program | 120 Brompton Rd, Savannah, GA 31410-3183 | 2018-10-25 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1043718877 | Alexa Coscia | Student in an Organized Health Care Education/Training Program | 505 Mall Blvd Apt 103, Savannah, GA 31406-4855 | 2018-01-26 |
| 1093240343 | Kimberly Tarver | Student in an Organized Health Care Education/Training Program | 4200 Waters Ave, Savannah, GA 31404-6214 | 2017-04-25 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| Find all providers in SAVANNAH | ||||
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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.