MEDICARE: DR. SIMONE MCCOY DNP, APRN, FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	5023236	NC
2	363LF0000X	Family Nurse Practitioner	2025049955	NC

General Provider Information

NPI Number	:	1952277014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIMONE MCCOY DNP, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 751069
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1069
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	517 MOYE BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-2849
Country	:	US
Telephone Number	:	252-744-2335
Fax Number	:	252-744-5035

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	03/10/2026

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