Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack W Simmons, MD

Individual provider Gynecology Physician · NPI 1487625240

Dr. Jack W Simmons, MD is a Gynecology Physician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2097 Henry Tecklenburg Dr Ste 312W
Charleston, SC 29414-5740
Phone: (843) 769-5620
Fax: (843) 769-5625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 10543 (SC)

Record details

NPI number1487625240
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESJanuary 4, 2013

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