NPIMap

Individual provider Active NPI

John C Simmons, MD

  • General Practice Physician
  • Linden, AL
National Provider Identifier
1104832724
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
AL16795 Issued in AL
Practice address
100 East Cahaba
Linden, AL 36748
Phone
(334) 295-0170
Fax
(334) 295-2275
NPI assigned
Aug 1, 2006
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X AL16795 AL
Surgery Physician 208600000X AL16795 AL
General Practice Physician 208D00000X AL16795 AL Primary

Addresses

Primary practice location

100 East Cahaba
Linden, AL 36748

Mailing address

100 East Cahaba
Linden, AL 36748
Phone (334) 295-0170

Other identifiers 1

IdentifierTypeStateIssuer
117645MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000448 AL Practitioner - General SurgeryPractitioner - Family Practice 3870582489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice
Education
University of Alabama School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 E Cahaba Ave
Linden, AL 36748-1204
Phone (334) 295-0170

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL16795ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John C Simmons M.D. CurrentSince Jan 15, 2010 Accepting new patients
Travis Clinic CurrentSince Jan 15, 2010 Accepting new patients
Gadsden Hma Physician Management, LLC Past Accepting new patients
Keen Health & Wellness Inc Past Accepting new patients
Demopolis Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Self-Recovery, LLC Past Accepting new patients
Linden Hospital Board Past Accepting new patients

Locations

100 E Cahaba Ave
Linden, AL 36748
Phone (334) 295-0170

Interoperability endpoints

  • Direct secure messaging: john.simmons@simclin.direct.medconnect-inc.com

Organizations & group practices 7

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

Hospital & facility affiliations 6

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1104832724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAST CAHABA",
            "city": "LINDEN",
            "state": "AL",
            "postal_code": "36748",
            "telephone_number": "334-295-0170",
            "fax_number": "334-295-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST CAHABA",
            "city": "LINDEN",
            "state": "AL",
            "postal_code": "36748",
            "telephone_number": "334-295-0170",
            "fax_number": "334-295-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "AL16795",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "AL16795",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "AL16795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117645",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, AL

Sources for this page

Verify at the official NPI Registry.