PATRICIA ANN SIMMONS PA
NPI 1902902141
Physician Assistant - Medical in Tuscaloosa, AL

NPI Status: Active since September 15, 2006

Contact Information

2731 MARTIN LUTHER KING JR BLVD
TUSCALOOSA, AL
ZIP 35401
Phone: (205) 349-3250
Fax: (205) 345-3993

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About PATRICIA SIMMONS

This page provides the complete NPI Profile along with additional information for Patricia Simmons, a primary care provider established in Tuscaloosa, Alabama with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1902902141 assigned on September 2006. The practitioner's primary taxonomy code is 363AM0700X with license number PA 048 (AL). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1902902141
Provider Name
PATRICIA ANN SIMMONS PA
Gender
Female
Entity Type
Individual
Location Address
2731 MARTIN LUTHER KING JR BLVD TUSCALOOSA, AL 35401
Location Phone
(205) 349-3250
Location Fax
(205) 345-3993
Mailing Address
2731 MARTIN LUTHER KING JR BLVD TUSCALOOSA, AL 35401
Mailing Phone
(205) 349-3250
Mailing Fax
(205) 345-3993
Is Sole Proprietor?
Yes
Enumeration Date
09-15-2006
Last Update Date
05-07-2008
Code Navigator

A primary care provider (PCP) like Patricia Simmons sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA 048
License State
AL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
51503439SIMOTHER (01)ALBLUE CROSS BLUE SHIELD
630500041MEDICAID (05)AL 
051503439SIMMEDICARE PIN (08)AL 

Medicare Participation & PECOS Enrollment Status

Patricia Simmons is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902902141, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 1 + 8 + 0 + 4 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1902902141.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
2731 MARTIN LUTHER KING JR BLVD
TUSCALOOSA, AL 35401
Nurse Practitioner (Family)
2731 MARTIN LUTHER KING JR BLVD
TUSCALOOSA, AL 35401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902902141, enumerated as an "individual" on September 15, 2006.

The provider is located at 2731 MARTIN LUTHER KING JR BLVD TUSCALOOSA, AL 35401 and the phone number is (205) 349-3250.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.