Physician Compare National (NPI:1811408818)

HEALTHCARE PROVIDER: REBEKAH WASHINGTON SIMMONS APRN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1811408818
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557690328
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190904003385
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIMMONS
	Individual professional last name
Provider First Name	REBEKAH
	Individual professional first name
Provider Middle Name	WASHINGTON
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1355244385
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	95
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1810 STADIUM DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 240
	Group Practice or individual's line 2 address
City	PHENIX CITY
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	368673179
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3342918303
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y