MS. NEIDRA SIMMONS RN
NPI 1356825749
Nurse Practitioner - Family in Fort Gordon, GA
About Ms. Neidra Simmons Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NEIDRA SIMMONS RN (NPI 1356825749) is an individual family provider in Fort Gordon, Georgia, licensed in Maryland (AC003819) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Neidra Simmons Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT GORDON, GA 30905
FORT GORDON, GA 30905
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 Neidra Simmons's NPI number?
The NPI number for Neidra Simmons is 1356825749. It was assigned to this individual provider in the NPPES registry on September 20, 2018.
Where is Neidra Simmons located?
Neidra Simmons practices at 300 W Hospital Rd, Fort Gordon, GA 30905. The listed phone number is (706) 787-7300.
What is Neidra Simmons's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Neidra Simmons enrolled in Medicare?
Yes. Neidra Simmons is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Neidra Simmons was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Neidra Simmons, RN · NPI 1356825749
Family physician in Fort Gordon, Georgia. Individual provider, active in the CMS NPPES registry since September 20, 2018.
## Identity
- **NPI:** 1356825749 (Entity type: Individual)
- **Enumerated:** September 20, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AC003819 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 W HOSPITAL RD, Fort Gordon, GA 30905-5741
- **Phone:** (706) 787-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356825749) · Data from the CMS NPPES public registry.