MR. TIEAREA T SIMS (ACNP-BC) – Acute Care Nurse Practitioner, NPI 1215320692

MR. TIEAREA T SIMS (ACNP-BC) is a healthcare provider. based in Newnan, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-BC. They hold a License No. RN242663 (GA). The NPI Number for MR. TIEAREA T SIMS (ACNP-BC) is 1215320692

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIEAREA T SIMS (ACNP-BC)
NPI
1215320692
Phone
(470) 652-9551
Address
600 CELEBRATE LIFE PKWY
Enumeration Date
10 March 2015
Last Update Date
31 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4046055000
Graduation Year
2014 (12 years ago)
PAC ID
1759600240
Group Practice PAC ID
4183986490
Professional Enrollment ID
I20150505001575
Address ID
GA303091281AT1968XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MR. TIEAREA T SIMS (ACNP-BC)

  • 600 CELEBRATE LIFE PKWY

    NEWNAN, GA 302658001

    Phone: (470) 652-9551

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2023-11-13 • Largest payer in this snapshot: ABBVIE INC. ($29).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150505001575INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30265)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183986490View full group profile
NameSpecialtyState
Nurse PractitionerGA
-MN
Critical Care (Intensivists)GA
Physician AssistantGA
Pulmonary Disease, Critical Care (Intensivists)GA
Physician AssistantGA
-UT
G A S T R O E N T E R O L O G YGA
-GA
-GA

Reviews

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Frequently asked questions

What is MR. TIEAREA T SIMS (ACNP-BC)'s NPI number?
MR. TIEAREA T SIMS (ACNP-BC)'s NPI is 1215320692 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MR. TIEAREA T SIMS (ACNP-BC)?
For scheduling context, MR. TIEAREA T SIMS (ACNP-BC) is shown as active in the registry.
How would a patient describe MR. TIEAREA T SIMS (ACNP-BC)'s focus?
For MR. TIEAREA T SIMS (ACNP-BC), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. TIEAREA T SIMS (ACNP-BC) located near Newnan?
MR. TIEAREA T SIMS (ACNP-BC) currently maps to Newnan, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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