Individual provider Active NPI

Marika Zarafyan Simmons, PA

  • Physician Assistant
  • Byram, MS
National Provider Identifier
1154959526
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00510 Issued in MS
Practice address
7275 S Siwell Rd
Byram, MS 39272-9767
Phone
(601) 373-7722
Fax
(601) 373-7378
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00510 MS Primary

Addresses

Primary practice location

7275 S Siwell Rd
Byram, MS 39272-9767

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210514002109 MS Practitioner - Physician Assistant 8820415532 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Mississippi Medical Clinic PLLCGroup PAC ID 5991298036, 2 clinicians

Practice addresses (Care Compare)

2200 Hwy 61 N
Suite 2100
Vicksburg, MS 39183-8246
Phone (601) 628-0022

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Vicksburg, MS, CCN 257097
  • Centerwell Home Health Home health agency, Flowood, MS, CCN 257126
  • Merit Health River Region Hospital, Vicksburg, MS, CCN 250031

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00510MSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Center - Yazoo, Inc CurrentSince Jun 13, 2022 Accepting new patients
Baptist Medical Center-Leake, Inc CurrentSince Jun 13, 2022 Accepting new patients
Central Mississippi Medical Clinic PLLC CurrentSince Dec 3, 2025 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Jun 13, 2022 Accepting new patients
Vicksburg Hma Physician Management LLC Current Accepting new patients
Medical Foundation of Central Ms CurrentSince Jun 13, 2022 Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince Jun 13, 2022 Accepting new patients
BMC - Attala, LLC CurrentSince Jun 13, 2022 Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients
Vicksburg Hma Physician Management LLC Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

7275 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-7722

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

2080 S Frontage Rd
Ste 100
Vicksburg, MS 39180
Phone (601) 262-1000

2200 Highway 61 N
Ste 2100
Vicksburg, MS 39183
Phone (601) 628-0022

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Organizations & group practices 10

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1154959526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 S SIWELL RD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729767",
            "telephone_number": "601-373-7722",
            "fax_number": "601-373-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MARIKA",
        "middle_name": "ZARAFYAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byram, MS

Sources for this page

Verify at the official NPI Registry.