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

Mary Tabatha Simon, FNP

Individual provider Family Nurse Practitioner · NPI 1902282270

Mary Tabatha Simon, FNP is a Nurse Practitioner in Easley, South Carolina. Qualified in 2015, 11 years ago. Practices with St Francis Physician Services Inc, a 104-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in South Carolina and Tennessee.

Years since qualifying
11
Licensed in
SC, TN
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

290 Enterprise Dr
Easley, SC 29642-8280
Phone: (864) 365-0290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 135 Commonwealth Dr, Greenville, SC 29615-4831 — (864) 483-9026
  • 301 Med Tech Pkwy Ste 120, Johnson City, TN 37604-2364 — (423) 794-5590
  • 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 — (423) 434-6300
  • 4221 Fort Henry Dr Ste 100, Kingsport, TN 37663-2227 — (423) 239-1550

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 19600 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 24643 (TN)

Record details

NPI number1902282270
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 10, 2015
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Francis Physician Services Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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