Individual provider Active NPI

Matthew Earl Sims, M.D.

  • Urology Physician
  • Germantown, TN
National Provider Identifier
1184119455
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
66909 Issued in TN
Practice address
1325 Wolf Park Dr Ste 102
Germantown, TN 38138-1759
Phone
(901) 252-3400
Fax
(901) 763-4305
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 30891 MS
Urology Physician 208800000X 66909 TN Primary

Addresses

Primary practice location

1325 Wolf Park Dr Ste 102
Germantown, TN 38138-1759

Mailing address

1325 Wolf Park Dr Ste 102
Germantown, TN 38138-1759
Phone (901) 252-3400

Other practice location 1

125 Guthrie Dr Ste 102
Southaven, MS 38671-5829
Phone (012) 523-4009

Other practice location 2

3145 Players Club Pkwy
Memphis, TN 38125-8835
Phone (901) 252-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230703000308 TN Practitioner - Urology 0143579557 Reassigns benefits to 1 organization
I20230719001468 MS Practitioner - Urology 0143579557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conrad Pearson Clinic PCGroup PAC ID 7315832649, 23 clinicians

Practice addresses (Care Compare)

125 Guthrie Dr
Southaven, MS 38671-5829
Phone (662) 349-1964

3145 Players Club Pkwy
Memphis, TN 38125-8835
Phone (901) 252-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
69.4
Promoting interoperability
100
Improvement activities
40
Cost
89.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Conrad Pearson Clinic PC Urology CurrentSince Aug 1, 2023 Accepting new patients
Conrad Pearson Clinic PC Urology CurrentSince Aug 1, 2023 Accepting new patients
Conrad Pearson Clinic Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

125 Guthrie Dr
Ste 102
Southaven, MS 38671
Phone (662) 349-1964

125 Guthrie Dr
Southaven, MS 38671
Phone (601) 349-1964

3145 Players Club Pkwy
Memphis, TN 38125
Phone (901) 252-3400

1325 Wolf Park Dr
Ste 103
Memphis, TN 38138

1325 Wolf Park Dr
Ste 102
Memphis, TN 38138
Phone (901) 252-3400

Interoperability endpoints

  • Direct secure messaging: matthew.sims.p1@direct.cpc.nextgenshare.com
  • Direct secure messaging: msims30991@mlh.direct-ci.com

Organizations & group practices 4

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 5

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1184119455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 WOLF PARK DR STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381759",
            "telephone_number": "901-252-3400",
            "fax_number": "901-763-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WOLF PARK DR STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381759",
            "telephone_number": "901-252-3400",
            "fax_number": "901-763-4305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Guthrie Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386715829",
            "country_code": "US",
            "telephone_number": "012-523-4009",
            "fax_number": "901-763-3405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3145 Players Club Pkwy",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381258835",
            "country_code": "US",
            "telephone_number": "901-252-3400",
            "fax_number": "901-763-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "MATTHEW",
        "middle_name": "EARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "30891",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "66909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.