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

Katharine Regina Simmons, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1972885192

Katharine Regina Simmons, PHYSICIANASSISTANT is a Physician Assistant in Conyers, Georgia. Graduated from Un of California, Irvine, College of Medicine in 2001, 25 years ago. Practices with Georgia Dermatology and Skin Cancer Center, LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
25
Trained at
Un of California, Irvine, College of Medicine
Licensed in
GA
In the registry since
2011
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Practice location Address checks out

1349 Milstead Rd NE
Conyers, GA 30012-3871
Phone: (770) 785-7546
Fax: (770) 761-8521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4266 (GA)

Record details

NPI number1972885192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 14, 2011
Last updated in NPPESJanuary 4, 2021
Certification dateJanuary 4, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Georgia Dermatology And Skin Cancer Center, Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Conyers