Healthcare Provider Details

I. General information

NPI: 1891784708
Provider Name (Legal Business Name): THOMAS EDWARD SIMPSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 11/23/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E WALL ST
RURAL HALL NC
27045-9312
US

IV. Provider business mailing address

100 E WALL ST
RURAL HALL NC
27045-9312
US

V. Phone/Fax

Practice location:
  • Phone: 336-659-9440
  • Fax: 336-659-9845
Mailing address:
  • Phone: 336-659-9440
  • Fax: 336-659-9845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number10927
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number10927
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: