Edward Dewey Simms III, MD
Individual provider Active NPI Emergency Medicine Physician · Mobile, AL
NPI 1104877174 · NPPES record last updated Mar 4, 2020
Key facts
- NPI
- 1104877174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD.29521 (AL)
- Practice address
- 3719 Dauphin St
Mobile, AL 36608-1753 - Phone
- (251) 626-5377
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Alabama School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urgent Care by the Bay, LLC
Springhill Emergency Physicians, PC
Practice addresses (Care Compare)
1208 US Hwy 98
Daphne, AL 36526-4254
Phone (251) 626-5377
3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 460-5333
Hospital & facility affiliations
- Springhill Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.68 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 75.29
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090923000367 | AL | Practitioner - Emergency Medicine | 7719081603 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.29521 | AL | MD | Emergency Medicine Physician |
| ME96267 | FL | MD | Emergency Medicine Physician |
| MT182643 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care by the Bay, LLC | Emergency Medicine | Current |
Accepting new patients |
| Moore Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6953
1208 US Highway 98
Daphne, AL 36526
Phone (251) 626-5377
Interoperability endpoints
- edward.simms.1@17993.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME96267 | FL | |
| Emergency Medicine Physician | 207P00000X | MT182643 | PA | |
| Emergency Medicine Physician | 207P00000X | MD.29521 | AL | Yes |
Addresses
Primary practice location
3719 Dauphin St
Mobile, AL 36608-1753
Mailing address
1208 US Highway 98
Daphne, AL 36526-4254
Phone (251) 626-5377
Other practice location 1
1208 US Highway 98
Daphne, AL 36526-4254
Phone (251) 626-5377
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276540300 | Medicaid | FL |
Other names
- Dr. Trey Simms
Other providers in Mobile, AL
- Jarmelya Simmons
- Jason Bradley Simmons
- Jon Simmons
- Steven Tyler Simmons
- Callie Marissa Simms
- Valeria Simms
- Amber Simon
- Ashleigh Elizabeth Simon
- Shelby Simone
- Brenda W Simons
All providers in Mobile, AL · Emergency Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.