SIMPLY HEALTHCARE PLLC
NPI 1780456640
Nurse Practitioner - Gerontology in Oxford, NC

Active since October 24, 2023CLIA 34D2298107 · Waiver
615 LEWIS ST STE 200C, OXFORD, NC 27565(919) 482-6553 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simply Healthcare Pllc NPPES

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

SIMPLY HEALTHCARE PLLC (NPI 1780456640) is a healthcare organization registered as a gerontology in Oxford, North Carolina and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Kelly Gentry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780456640
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameSIMPLY HEALTHCARE PLLC
Location Address615 LEWIS ST STE 200COxford, NC 27565-3693
Mailing Address615 Lewis St Ste 200cOxford, NC 27565-3693 · (919) 482-6553
Organization SubpartNo
Authorized OfficialKelly GentryCeo · (919) 482-6553
Enumeration DateOctober 24, 2023
NPPES CertifiedOctober 24, 2023
NPI 1780456640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
615 LEWIS ST STE 200C, Oxford, NC 27565

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2298107

Simply Healthcare PLLC · Oxford, NC
Active · expires Jan 28, 2028
CLIA Number34D2298107
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorKelly L. Gentry
Laboratory Phone(919) 939-8888
Laboratory LocationSimply Healthcare PLLC615 Lewis St Suite 200-C, Oxford, NC 27565
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Simply Healthcare PLLC's NPI number?

The NPI number for Simply Healthcare PLLC is 1780456640. It was assigned to this organization in the NPPES registry on October 24, 2023.

Where is Simply Healthcare PLLC located?

Simply Healthcare PLLC is located at 615 Lewis St Ste 200C, Oxford, NC 27565. The listed phone number is (919) 482-6553.

What is Simply Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Does Simply Healthcare PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2298107) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Simply Healthcare PLLC was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.