Individual provider Active NPI

Clifford William Sims, MD

  • Ophthalmology Physician
  • Memphis, TN
National Provider Identifier
1023170925
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD10502 Issued in TN
Practice address
1407 Union Ave Ste 901
Memphis, TN 38104-3672
Phone
(901) 526-8393
Fax
(901) 526-8331
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD10502 TN Primary

Addresses

Primary practice location

1407 Union Ave Ste 901
Memphis, TN 38104-3672

Mailing address

1407 Union Ave Ste 901
Memphis, TN 38104-3672
Phone (901) 526-8393

Other identifiers 1

IdentifierTypeStateIssuer
3163225MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000413 TN Practitioner - Ophthalmology 3476720681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Meharry Medical College School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1407 Union Ave
Suite 1003
Memphis, TN 38104-3678
Phone (901) 526-8393

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10502TNMDGeneral Practice Dentistry
MD10502TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clifford W Sims MD PC Ophthalmology CurrentSince Feb 8, 1997 Accepting new patients

Locations

1407 Union Ave
Ste 1003
Memphis, TN 38104
Phone (901) 526-8393

Interoperability endpoints

  • Direct secure messaging: csims44279@mlh.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1023170925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE STE 901",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043672",
            "telephone_number": "901-526-8393",
            "fax_number": "901-526-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE STE 901",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043672",
            "telephone_number": "901-526-8393",
            "fax_number": "901-526-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "CLIFFORD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD10502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3163225",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.