CARLA J SIMMONS (NPI# 1780817536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780817536 |
| Entity Type | Individual |
| Full Name | CARLA J SIMMONS |
| Credential | RN, BSN |
| Practice Address |
6 Mathis Dr Nw Rome GA 30165-1242 |
| Mailing Address |
1401 Applewood Dr Dalton GA 30720-2699 |
| Practice Telephone | 7062956425 |
| Practice Fax Number | 7062956478 |
| Mailing Telephone | 7062705002 |
| Mailing Fax Number | 7062705111 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2015-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN135451 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286260 | Carla Jai Simmons | Specialist | 1300 Bragg Blvd Ste 1318, Fayetteville, NC 28301-4296 | 2017-10-23 |
| 1679582191 | Carla Gail Simmons | Physician Assistant | 8220 Walnut Hill Ln, 700, Dallas, TX 75231-4427 | 2006-08-05 |
| Street Address |
6 MATHIS DR NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558427005 | Peggy Brown | Counselor | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2006-12-29 |
| 1902252356 | Misty Dawn Brackett | Community Health Worker | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-05-04 |
| 1730535188 | Robin Stocks | Community Health Worker | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-05-04 |
| 1841654985 | Lacretia Washington | Licensed Practical Nurse | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-04-05 |
| 1104280247 | Relecia Garrett | Licensed Practical Nurse | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-04-05 |
| 1992162564 | Highland Rivers | Community/Behavioral Health | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-01-27 |
| 1013373687 | Emory Chatman | Social Worker | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-01-12 |
| 1881050441 | Reginald Darnell Mcdaniel | Counselor | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-01-12 |
| 1548626245 | Jessica Lashay Mcburnett | Case Manager/Care Coordinator | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-01-11 |
| 1154787927 | Barbara Glanton | Case Manager/Care Coordinator | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386941177 | Laura Ann Smith-creaser | Registered Nurse | 252 W. Dominick Street, Mental Health Connections, Rome, NY 13440 | 2011-02-15 |
| 1952692964 | Karen Gentile | Registered Nurse | 227 W Dominick St, Rome, NY 13440-5853 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744717 | Leighana Caldwell | Registered Nurse | 4104 Springridge Ct, Powder Springs, GA 30127-3546 | 2020-06-10 |
| 1083236087 | Adenike Anne Apata | Registered Nurse | 3796 Okefenokee Rdg, Loganville, GA 30052-7167 | 2020-05-12 |
| 1780233452 | Kellie Tedisco | Registered Nurse | 129 Kelly Farm Dr, Luthersville, GA 30251-1607 | 2019-09-05 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1871053819 | Gay Nell Robinson | Registered Nurse | 733 Erika Ln, Grovetown, GA 30813-8305 | 2019-03-25 |
| 1184123812 | Alex Whitman Peterson | Registered Nurse | 1010 Huntcliff Ste 1350, Atlanta, GA 30350-1809 | 2018-02-08 |
| 1629586748 | Dianne Marie Knettel | Registered Nurse | 37 Calumet Pkwy Ste 100, Newnan, GA 30263-6734 | 2018-01-11 |
| 1205347630 | Caroline R Mckinnon | Registered Nurse | 688 Lambeth Dr, Evans, GA 30809-4272 | 2017-10-12 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1407381817 | Divine Psychiatric Care | Registered Nurse | 2651 Cedar Dr, Lawrenceville, GA 30043-1325 | 2017-04-23 |
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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.