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ST SIMONS ISLAND CLINIC
NPI 1114336732
Clinic/Center - Primary Care in St Simons Island, GA

Active since August 07, 2014
284 REDFERN VLG, ST SIMONS ISLAND, GA 31522(912) 634-9092(201) 221-8640 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Simons Island Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST SIMONS ISLAND CLINIC (NPI 1114336732) is a healthcare organization registered as a primary care in St Simons Island, Georgia and active in the NPI registry since August 2014. The organization lists William Nelson, President, as its authorized official.

NPPES Registry Identity

NPI1114336732
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST SIMONS ISLAND CLINIC
Location Address284 REDFERN VLGSt Simons Island, GA 31522-2536
Mailing Address284 Redfern VlgSt Simons Island, GA 31522-2536 · (912) 634-9092 · Fax (201) 221-8640
Phone(912) 634-9092
Fax(201) 221-8640
Organization SubpartNo
Authorized OfficialWilliam NelsonPresident · (912) 634-9092
Enumeration DateAugust 7, 2014
✔ NPI 1114336732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
284 REDFERN VLG, St Simons Island, GA 31522
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Simons Island Clinic's NPI number?

The NPI number for St Simons Island Clinic is 1114336732. It was assigned to this organization in the NPPES registry on August 7, 2014.

Where is St Simons Island Clinic located?

St Simons Island Clinic is located at 284 Redfern Vlg, St Simons Island, GA 31522. The listed phone number is (912) 634-9092.

What is St Simons Island Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for St Simons Island Clinic was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.