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

Q: 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.

Q: What is Cassandra Simon's specialty?

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

Q: 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 4 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.

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: August 02, 2026.

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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

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Other Names 1

Former Name (1)Cassandra Jeanette Adams

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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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.

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