Provider Demographics
NPI:1235662768
Name:SIMMONS, JOHN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4230 HARDING PIKE STE 503
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2098
Mailing Address - Country:US
Mailing Address - Phone:615-964-5864
Mailing Address - Fax:615-269-7359
Practice Address - Street 1:4230 HARDING PIKE STE 200
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2020
Practice Address - Country:US
Practice Address - Phone:615-964-5864
Practice Address - Fax:615-269-7359
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
TN68095207RP1001X
AL37775207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine