Ms Crystal E Sims, APRN-BC - Medicare Nurse Practitioner in Athens, GA

Ms Crystal E Sims, APRN-BC is a medicare enrolled "Nurse Practitioner - Family" in Athens, Georgia. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Healthcare Services Inc, Privia Medical Group Of Georgia Llc and her current practice location is 1086 A Baxter Street, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 353-0606.

Ms Crystal E Sims is licensed to practice in Georgia (license number RN145684) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780707166.

Contact Information

Ms Crystal E Sims, APRN-BC
1086 A Baxter Street,
Athens, GA 30606
(706) 353-0606
(706) 353-0798

Map and Direction




Provider's Profile

Full NameMs Crystal E Sims
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location1086 A Baxter Street, Athens, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Crystal E Sims graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1780707166
  • Provider Enumeration Date: 04/09/2007
  • Last Update Date: 03/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1254683717
  • Enrollment ID: I20181010002796

Medical Identifiers

Medical identifiers for Ms Crystal E Sims such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780707166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN145684 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN145684 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397223341
Privia Medical Group Of Georgia Llc4284951542332

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Crystal E Sims allows following entities to bill medicare on her behalf.
Entity NameRandy B Cronic, M.d. Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366658692
PECOS PAC ID: 2062473010
Enrollment ID: O20041022000424
Entity NamePrivia Medical Group Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013313857
PECOS PAC ID: 4284951542
Enrollment ID: O20150325000983
Entity NamePeachtree Hospice Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255788436
PECOS PAC ID: 5496988156
Enrollment ID: O20160902000940

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Crystal E Sims is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Crystal E Sims, APRN-BC
3660 Howell Ferry Rd Bldg B,
Duluth, GA 30096-3178

Ph: (770) 670-4640
Ms Crystal E Sims, APRN-BC
1086 A Baxter Street,
Athens, GA 30606

Ph: (706) 353-0606

Reviews and Comments


Nurse Practitioner Nurses in Athens, GA

Ms. Susan Gail Adams, APRN-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1905 Barnett Shoals Rd, Athens, GA 30605
Phone: 706-542-7053    
Ireta Favors, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 250 Bray St, Athens, GA 30601
Phone: 678-215-4907    Fax: 678-671-8489
Melissa Bienacker Baughcum, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 340 N Milledge Ave Ste B, Athens, GA 30601
Phone: 706-548-0008    Fax: 706-369-9673
Amanda Gunter, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1175 Mitchell Bridge Rd, Athens, GA 30606
Phone: 706-534-4637    
Lauren Gruendling, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606
Phone: 706-475-1700    
Cheryl Y Reed, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606
Phone: 706-548-6881    Fax: 706-546-0821
Melisa Ann Suggs, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 240 North Ave, Athens, GA 30601
Phone: 706-613-6976    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.