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CASSANDRA JEANETTE SIMON NP
NPI 1114680196
Nurse Practitioner - Pediatrics in Atlanta, GA

Active since October 18, 2021PECOS Enrolled
1400 TULLIE RD NE, ATLANTA, GA 30329(404) 785-1691 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cassandra Jeanette Simon Np NPPES

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

CASSANDRA JEANETTE SIMON NP (NPI 1114680196) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN297304) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114680196
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCASSANDRA JEANETTE SIMONCredential: NP
Location Address1400 TULLIE RD NEAtlanta, GA 30329-2309
Mailing Address1400 Tullie Rd NeAtlanta, GA 30329-2309 · (404) 785-5437
Phone(404) 785-1691
Sole ProprietorNo
Enumeration DateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1114680196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN297304
1400 TULLIE RD NE, Atlanta, GA 30329
Open in Google Maps ↗

Other Names 1

Former Name (1)Cassandra Jeanette Adams

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandra Jeanette Simon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Cassandra Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Choa Hospital Based, LLC
0.4 mi
Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 251 clinicians in this Medicare group
NPI 1457695488 (404) 785-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANH VAN TRIEU PA-C
Physician Assistant
1400 TULLIE RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
OLIVIA TAYLOR KREK RD
Dietitian, Registered
1400 TULLIE RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-9465
MS. LEE CARDEN NELSON CCC SLP
Speech-Language Pathologist
1400 TULLIE RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
TAMMIE V BRICKHOUSE CPNP
Nurse Practitioner (Pediatrics)
1400 TULLIE RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
KANESHA RAQUEL MCDOWELL
Nurse Practitioner (Neonatal)
1400 TULLIE RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
LAUREN DUFOUR BLOOM MD
Pediatrics (Pediatric Gastroenterology)
1400 TULLIE RD NE
ATLANTA, GA 30329
Dekalb County (404) 778-1440
REUVEN ZEV COHEN MD
Pediatrics (Pediatric Gastroenterology)
1400 TULLIE RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
GABRIELA LUCIA YOUNG RD
Dietitian, Registered
1400 TULLIE RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-0426

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 Cassandra Simon's NPI number?

The NPI number for Cassandra Simon is 1114680196. It was assigned to this individual provider in the NPPES registry on October 18, 2021. The provider is also known as Cassandra Jeanette Adams.

Where is Cassandra Simon located?

Cassandra Simon practices at 1400 Tullie Rd NE, Atlanta, GA 30329. The listed phone number is (404) 785-1691.

What is Cassandra Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Cassandra Simon enrolled in Medicare?

Yes. Cassandra Simon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cassandra Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Simon reassigns Medicare benefits to Choa Hospital Based, LLC (Brookhaven, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cassandra Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cassandra Simon was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.