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

John Simonson

Individual provider Physician Assistant · NPI 1134595721

John Simonson is a Physician Assistant in Sanford, Florida. Qualified in 2015, 11 years ago. Practices with Hughston Clinic Southeast PC, a 48-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

309 N Mangoustine Ave Unit G
Sanford, FL 32771-1098
Phone: (321) 363-1754
Fax: (321) 363-3336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9108786 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9108786 (FL)

Record details

NPI number1134595721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2015
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing addressPo Box 370, Fortson, GA 31808-0370

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Hughston Clinic Southeast Pc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sanford