MARY TABATHA SIMON FNP
NPI 1902282270
Nurse Practitioner - Family in Easley, SC

Active since August 10, 2015PECOS EnrolledAccepts Medicare Assignment
290 ENTERPRISE DR, EASLEY, SC 29642(864) 365-0290 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2018, Sep 24, 2018, Jan 28, 2016 (3 updates tracked since 2016).

About Mary Tabatha Simon Fnp NPPES

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

MARY TABATHA SIMON FNP (NPI 1902282270) is an individual family provider in Easley, South Carolina, licensed in South Carolina (19600) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Baptist Easley Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1902282270
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY TABATHA SIMONCredential: FNP
Location Address290 ENTERPRISE DREasley, SC 29642-8280
Mailing Address3 Professional Park Dr, Ste 21Johnson City, TN 37604-6529 · (423) 434-6300 · Fax (423) 434-6312
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 10, 2015
Last NPPES UpdateAugust 18, 20253 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
NPI 1902282270 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
Licenses Licensed in SC · 19600 Licensed in TN · 24643
290 ENTERPRISE DR, Easley, SC 29642

Secondary Practice Locations 4

Location 1301 Med Tech Pkwy Ste 120Johnson City, TN 37604-2364 · Phone (423) 794-5590 · Fax (423) 794-5877
Location 2135 Commonwealth Dr, Suite 120Greenville, SC 29615-4831 · Phone (864) 483-9026
Location 34221 Fort Henry Dr Ste 100Kingsport, TN 37663-2227 · Phone (423) 239-1550 · Fax (423) 239-1544
Location 43 Professional Park Dr Ste 21Johnson City, TN 37604-6529 · Phone (423) 434-6300 · Fax (423) 434-6312

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

Mary Tabatha Simon 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 ID9739489428
PECOS Enrollment IDI20151202001472
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 9

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.
228 services145 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.
150 services100 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.
95 services95 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
33 services25 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
20 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Baptist Easley Hospital

Acute Care Hospitals · Easley, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420015
Location200 Fleetwood DriveEasley, SC 29640 · Pickens County
Emergency services

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29642 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 4

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

Family Medicine
290 ENTERPRISE DR
EASLEY, SC 29642
Family Medicine
290 ENTERPRISE DR
EASLEY, SC 29642
Pediatrics
290 ENTERPRISE DR
EASLEY, SC 29642
Family Medicine
290 ENTERPRISE DR
EASLEY, SC 29642

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 Mary Simon's NPI number?

The NPI number for Mary Simon is 1902282270. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Where is Mary Simon located?

Mary Simon practices at 290 Enterprise Dr, Easley, SC 29642. The listed phone number is (864) 365-0290.

What is Mary Simon's specialty?

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

Is Mary Simon enrolled in Medicare?

Yes. Mary Simon 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 Mary Simon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 5 other insurers list Mary Simon 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 Mary Simon affiliated with any hospitals?

According to CMS data, Mary Simon is affiliated with Prisma Health Baptist Easley Hospital and St Francis-Downtown.

When was this NPI record last updated?

The NPPES record for Mary Simon was last updated on August 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.