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TREVINO C SIMMONS FNP
NPI 1346797065
Nurse Practitioner - Family in Ellenwood, GA

Active since September 10, 2016
256 ESSEX PL, ELLENWOOD, GA 30294(770) 380-9756 Get Directions Write a Review

NPPES record last updated: September 10, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Trevino C Simmons Fnp NPPES

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

TREVINO C SIMMONS FNP (NPI 1346797065) is an individual family provider in Ellenwood, Georgia, licensed in Georgia (RN192990) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1346797065
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTREVINO C SIMMONSCredential: FNP
Location Address256 ESSEX PLEllenwood, GA 30294-4106
Mailing Address256 Essex PlEllenwood, GA 30294-4106 · (770) 380-9756
Phone(770) 380-9756
Sole ProprietorYes
Enumeration DateSeptember 10, 2016
✔ NPI 1346797065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN192990
256 ESSEX PL, Ellenwood, GA 30294
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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 Trevino Simmons's NPI number?

The NPI number for Trevino Simmons is 1346797065. It was assigned to this individual provider in the NPPES registry on September 10, 2016.

Where is Trevino Simmons located?

Trevino Simmons practices at 256 Essex Pl, Ellenwood, GA 30294. The listed phone number is (770) 380-9756.

What is Trevino Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Trevino Simmons was last updated on September 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.