MRS. SHANIQUA LYNEE SIMS FNP
NPI 1548772544
Nurse Practitioner - Family in Flowery Branch, GA

Active since October 30, 2017PECOS EnrolledAccepts Medicare Assignment
4754 MARTIN RD, FLOWERY BRANCH, GA 30542(770) 848-9130 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 4, 2022, Aug 13, 2019, Jul 18, 2018 and 1 more (4 updates tracked since 2017).

About Mrs. Shaniqua Lynee Sims Fnp NPPES

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

MRS. SHANIQUA LYNEE SIMS FNP (NPI 1548772544) is an individual family provider in Flowery Branch, Georgia, licensed in Georgia (RN239933) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1548772544
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANIQUA LYNEE SIMSCredential: FNP
Location Address4754 MARTIN RDFlowery Branch, GA 30542-3507
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 30, 2017
Last NPPES UpdateOctober 4, 20224 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1548772544 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 · RN239933
4754 MARTIN RD, Flowery Branch, GA 30542

Other Names 1

Former Name (1)Miss Shaniqua Lynee Johnson N/a

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shaniqua Lynee Sims Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608129895
PECOS Enrollment IDI20181106001076
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
157 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
58 services36 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
45 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services30 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30542 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 13

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

Physical Therapist
4754 MARTIN RD, SUITE 200
FLOWERY BRANCH, GA 30542
Physician Assistant (Medical)
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Physical Therapist
4754 MARTIN RD, SUITE 200
FLOWERY BRANCH, GA 30542
Physical Therapist
4754 MARTIN RD, STE 200
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542

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 Shaniqua Sims's NPI number?

The NPI number for Shaniqua Sims is 1548772544. It was assigned to this individual provider in the NPPES registry on October 30, 2017. The provider is also known as Miss Shaniqua Lynee Johnson N/A.

Where is Shaniqua Sims located?

Shaniqua Sims practices at 4754 Martin Rd, Flowery Branch, GA 30542. The listed phone number is (770) 848-9130.

What is Shaniqua Sims's specialty?

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

Is Shaniqua Sims enrolled in Medicare?

Yes. Shaniqua Sims is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shaniqua Sims accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Shaniqua Sims 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.

Is Shaniqua Sims affiliated with any hospitals?

According to CMS data, Shaniqua Sims is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Shaniqua Sims was last updated on October 4, 2022. 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.