Healthcare Provider Details

I. General information

NPI: 1932610185
Provider Name (Legal Business Name): ASHLEY PRITCHETT SIMMS NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2017
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1495 HICKORY FLAT HWY STE 100
CANTON GA
30115-4266
US

IV. Provider business mailing address

PO BOX 117598
ATLANTA GA
30368-7598
US

V. Phone/Fax

Practice location:
  • Phone: 678-341-6360
  • Fax: 678-626-7900
Mailing address:
  • Phone: 770-442-1911
  • Fax: 770-442-0306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP203099
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: