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

Mr. Thomas Godon Simmons, PA

Individual provider Surgical Physician Assistant · NPI 1366422404

Mr. Thomas Godon Simmons, PA is a Surgical Physician Assistant in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3276 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone: (479) 587-1114
Fax: (479) 587-1119
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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 PA-147 (AR)

Record details

NPI number1366422404
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 17, 2006
Last updated in NPPESJuly 13, 2026

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