Individual provider Active NPI

Byron C Sizemore, M.D.

  • Interventional Cardiology Physician
  • Thomasville, GA
National Provider Identifier
1194734301
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
063959 Issued in GA
Practice address
116 Mimosa Dr
Thomasville, GA 31792-6605
Phone
(229) 551-0083
Fax
(229) 551-8789
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 063959 GA
Interventional Cardiology Physician 207RI0011X 063959 GA Primary

Addresses

Primary practice location

116 Mimosa Dr
Thomasville, GA 31792-6605

Mailing address

900 Cairo Rd
Thomasville, GA 31792-4255
Phone (229) 227-5158

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address byronsizemore@ccsg.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071119000657 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3476641895 Reassigns benefits to 1 organization
I20100508000133 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3476641895 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Florida College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCSG, IncGroup PAC ID 6103130745, 25 clinicians

Practice addresses (Care Compare)

100 Mimosa Dr
2ND
Thomasville, GA 31792-6676
Phone (229) 551-0083

1155 5TH St SE
Cairo, GA 39828-3142
Phone (229) 377-1100

116 Mimosa Dr
Thomasville, GA 31792-6605
Phone (229) 551-0083

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (229) 551-0083

1323 E Shotwell St
Bainbridge, GA 39819-4252
Phone (229) 243-0283

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 246-3500

3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 985-3420

915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting63
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
063959GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John D Archbold Memorial Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
CCSG, Inc. Cardiovascular Disease CurrentSince May 5, 2016 Accepting new patients
Pathology Associates, P.C. Current Accepting new patients
Hospital Authority of Mitchell County CurrentSince Oct 1, 2018 Accepting new patients
Grady General Hospital CurrentSince Oct 1, 2018 Accepting new patients
Cardiology Consultants of South Georgia, PC Cardiovascular Disease Current Accepting new patients
Brooks County Hospital CurrentSince Oct 1, 2018 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Bond Urgent Care LLC Past Accepting new patients
Cardiac Interpretation Billing Service LLC Past Accepting new patients

Locations

555 N Jefferson St
Monticello, FL 32344
Phone (850) 997-4772

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

1323 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-0283

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

259 US Highway 19 N
Camilla, GA 31730
Phone (229) 227-1229

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

115 31st Ave SE
Moultrie, GA 31768
Phone (229) 502-1020

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

1 Sweet Bay Ct
Moultrie, GA 31768
Phone (229) 890-5305

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

1309 W Screven St
Quitman, GA 31643
Phone (229) 263-6992

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102

100 Mimosa Dr
Fl 2
Thomasville, GA 31792
Phone (229) 228-5500

116 Mimosa Dr
Thomasville, GA 31792
Phone (229) 551-0083

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

Interoperability endpoints

  • Direct secure messaging: bclay.sizemore.p1@direct.bondclinicpa.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/
  • Direct secure messaging: byronsizemore@ccsg.allscriptsdirect.net

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, 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1194734301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255",
            "telephone_number": "229-227-5158",
            "fax_number": "229-227-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MIMOSA DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926605",
            "telephone_number": "229-551-0083",
            "fax_number": "229-551-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "BYRON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "063959",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "063959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "byronsizemore@ccsg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "116 Mimosa Dr",
            "city": "Thomasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317926605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.