SIMPLECLINIC PLLC
NPI 1164887873
Nurse Practitioner - Primary Care in Eastover, NC
About Simpleclinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMPLECLINIC PLLC (NPI 1164887873) is a healthcare organization registered as a primary care in Eastover, North Carolina and active in the NPI registry since December 2015. The organization maintains 2 additional practice locations and lists Jonathan Daniel Hancock, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Simpleclinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Simpleclinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Simpleclinic PLLC's NPI number?
The NPI number for Simpleclinic PLLC is 1164887873. It was assigned to this organization in the NPPES registry on December 22, 2015.
Where is Simpleclinic PLLC located?
Simpleclinic PLLC is located at 3551 Dunn Rd Ste 101, Eastover, NC 28312. The listed phone number is (910) 483-6277.
What is Simpleclinic PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Simpleclinic PLLC enrolled in Medicare?
Yes. Simpleclinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Simpleclinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Simpleclinic PLLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (8) and Family Practice (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Simpleclinic PLLC accept?
Health plans from Blue Cross and Blue Shield of NC list Simpleclinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Simpleclinic PLLC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Simpleclinic Pllc · NPI 1164887873
Primary Care organization in Eastover, North Carolina. Organization record, active in the CMS NPPES registry since December 22, 2015.
## Identity
- **NPI:** 1164887873 (Entity type: Organization)
- **Enumerated:** December 22, 2015
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Jonathan Hancock, OWNER
## Practice location
- **Address:** 3551 DUNN RD STE 101, Eastover, NC 28312-9417
- **Phone:** (910) 483-6277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1164887873) · Data from the CMS NPPES public registry.