Provider Demographics
NPI:1922045905
Name:SIMMONS, JOHN FRANKLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANKLIN
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 W HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:AL
Mailing Address - Zip Code:36340-1645
Mailing Address - Country:US
Mailing Address - Phone:334-684-3644
Mailing Address - Fax:334-684-6472
Practice Address - Street 1:915 W HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:AL
Practice Address - Zip Code:36340
Practice Address - Country:US
Practice Address - Phone:334-684-3644
Practice Address - Fax:334-684-6472
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10418208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000016076Medicaid
FL044194500Medicaid
FL044194500Medicaid
AL000016076Medicare ID - Type Unspecified
AL080180023Medicare ID - Type UnspecifiedRAILROAD MEDICARE