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NEIL JORDAN SIMMONS
NPI 1770228314
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 28, 2022PECOS Enrolled
4301 W MARKHAM ST, SLOT 602, LITTLE ROCK, AR 72205(501) 526-7732 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Neil Jordan Simmons NPPES

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

NEIL JORDAN SIMMONS (NPI 1770228314) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1770228314
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNEIL JORDAN SIMMONS
Location Address4301 W MARKHAM ST, SLOT 602Little Rock, AR 72205-7101
Mailing Address2010 Rebsamen Park Rd Apt 411Little Rock, AR 72202-1966
Phone(501) 526-7732
Sole ProprietorYes
Enumeration DateApril 28, 2022
NPPES CertifiedApril 28, 2022
✔ NPI 1770228314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST, SLOT 602, Little Rock, AR 72205
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Secondary Practice Location 1

Location 11 Children's Way, Slot 602Little Rock, AR 72202 · Phone (501) 526-7732

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neil Jordan Simmons 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.

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 Neil Simmons's NPI number?

The NPI number for Neil Simmons is 1770228314. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Neil Simmons located?

Neil Simmons practices at 4301 W Markham St, Slot 602, Little Rock, AR 72205. The listed phone number is (501) 526-7732.

What is Neil Simmons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Neil Simmons enrolled in Medicare?

Yes. Neil Simmons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Neil Simmons was last updated on April 28, 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.