Provider Demographics
NPI:1437117926
Name:SIMMS, CASSANDRA GOINS (MD)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:GOINS
Last Name:SIMMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7161 LEE HWY STE 400
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-8604
Mailing Address - Country:US
Mailing Address - Phone:423-708-8670
Mailing Address - Fax:423-708-8671
Practice Address - Street 1:7161 LEE HWY STE 400
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-8604
Practice Address - Country:US
Practice Address - Phone:423-708-8670
Practice Address - Fax:423-708-8671
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA546692084P0800X, 2084P0804X
TN385692084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNI11509Medicare UPIN
TN3895348Medicare ID - Type Unspecified