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NPI Code Detail

MEDICARE: MRS. CALEIGH M SIMON NP-C, MSN

MEDICARE:  MRS. CALEIGH M SIMON  NP-C, MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner18895TN
2207QS1201XSleep Medicine (Family Medicine) Physician18895TN
3363LF0000XFamily Nurse Practitioner27198SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154723039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CALEIGH M SIMON NP-C, MSN
Provider Business Mailing Address
First Line : 224 E BUTLER RD
Second Line :
City : MAULDIN
State : SC
Zip : 29662-2129
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 224 E BUTLER RD
Second Line :
City : MAULDIN
State : SC
Zip : 29662-2129
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2014
Last Update Date : 02/19/2026

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Directions to “ MRS. CALEIGH M SIMON NP-C, MSN” Practice Location

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