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NPI Code Detail

MEDICARE: VELISSA SIMS

MEDICARE: VELISSA SIMS
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
1106S00000XBehavior TechnicianGA

General Provider Information

NPI Number : 1922810332
Entity Type Code : Individual
Provider Name (Legal Business Name) : VELISSA SIMS
Provider Business Mailing Address
First Line : 783 ELOISE CT SE APT A
Second Line :
City : ATLANTA
State : GA
Zip : 30312-3565
Country : US
Telephone Number : 404-376-9896
Fax Number :
Provider Business Practice Location Address
First Line : 3190 NORTHEAST EXPY NE STE 110
Second Line :
City : ATLANTA
State : GA
Zip : 30341-5323
Country : US
Telephone Number : 404-487-6005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2025
Last Update Date : 02/15/2026

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Directions to “ VELISSA SIMS ” Practice Location

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