Individual provider Active NPI

Donald R Simmons, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Homewood, AL
National Provider Identifier
1164428892
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
16259 Issued in AL
Practice address
140 Oxmoor Blvd Ste 140
Homewood, AL 35209
Phone
(205) 313-4628
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 16259 AL Primary

Addresses

Primary practice location

140 Oxmoor Blvd Ste 140
Homewood, AL 35209

Mailing address

1209 S Cove LN
Vestavia Hills, AL 35216-3867
Phone (205) 807-0517

Other practice location 1

924 Montclair Rd
Ste 200
Birmingham, AL 35213-1200
Phone (205) 591-7999

Other identifiers 1

IdentifierTypeStateIssuer
AL000007472MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040506000761 AL Practitioner - Pathology 0244229243 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16259ALMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Mountain Diagnostics, LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2018 Accepting new patients

Locations

140 Oxmoor Blvd
Ste 140
Homewood, AL 35209
Phone (205) 224-4490

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1164428892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 S COVE LN",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163867",
            "telephone_number": "205-807-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OXMOOR BLVD STE 140",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-313-4628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 Montclair Rd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352131200",
            "country_code": "US",
            "telephone_number": "205-591-7999",
            "fax_number": "205-591-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "16259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AL000007472",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.