Provider Demographics
NPI:1942452123
Name:SIMMONS, JOHN FRANKLIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANKLIN
Last Name:SIMMONS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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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:334-684-3643
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:36340-1645
Practice Address - Country:US
Practice Address - Phone:334-684-3643
Practice Address - Fax:334-684-6472
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-19
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAS4134665-9262207Q00000X
TXN2806207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202393901Medicaid
TX8CA072OtherBLUE CROSS BLUE SHIELD
TX8L13015Medicare PIN