Active NPI
Michael Grayson Simmons, MD
- Urology Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 93682
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 219-8430
- NPI assigned
- Sep 14, 2005
- Last updated
- Jan 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 93682 | GA | Primary |
| Urology Physician | 208800000X | 17993 | AL |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
750 Byron Rd
Scottsboro, AL 35769-4051
Phone (256) 259-8765
Other practice location 1
750 Byron Rd
Scottsboro, AL 35769-4051
Phone (256) 259-8765
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256068200 | Medicaid | FL | |
| 00820619C | Medicaid | GA | |
| 106277 | Medicaid | AL | |
| 106278 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, KY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Alabama School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1532 Lone Oak Rd
Suite 150
Paducah, KY 42003-7940
Phone (270) 538-6700
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000
750 Byron Rd
Scottsboro, AL 35769-4051
Phone (256) 259-8765
775 Poplar Rd
Newnan, GA 30265-8300
Phone (678) 423-7860
Hospital & facility affiliations
- Highlands Medical Center
- Piedmont Newnan Hospital, Inc
- Northeast Georgia Medical Center, Inc
- Atrium Health Floyd Medical Center
- Huntsville Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 13 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17993 | AL | MD | Urology Physician |
| 93682 | GA | MD | Urology Physician |
| 17993 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group, Inc | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Alabama Cancer Care, LLC | Current | Accepting new patients | |
| Piedmont Providers LLC | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Urology | Current | Accepting new patients |
| MTN Lake Urology PC | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Urology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Floyd Physicians, LLC | Urology | Current | Accepting new patients |
| Piedmont Newnan Hospital, Inc. | Past | Accepting new patients | |
| Mercy Health Physicians Kentucky LLC | Past | Accepting new patients |
Locations
1608 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 244-4150
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
775 Poplar Rd
Lowr
Newnan, GA 30265
Phone (678) 423-7860
775 Poplar Rd
Ste 160A
Newnan, GA 30265
Phone (770) 400-4630
775 Poplar Rd
Ste 160B
Newnan, GA 30265
Phone (770) 400-4630
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
1700 Ring Rd
Elizabethtown, KY 42701
Phone (270) 769-5551
1301 Pleasant Valley Rd
Ste 302
Owensboro, KY 42303
Phone (270) 417-7880
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1532 Lone Oak Rd
Ste 150
Paducah, KY 42003
Phone (270) 538-6700
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Interoperability endpoints
- msimmons2884624@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 15
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.
-
dba Atrium Health Floyd Specialty Care
- Neonatal-Perinatal Medicine Physician
- Rome, GA
- NPI 1992814586
Urology
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Urology
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
Urology
-
- Specialist
- Scottsboro, AL
- NPI 1801050364
-
- Hematology & Oncology Physician
- Gadsden, AL
- NPI 1447579644
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
dba Mercy Health - Paducah Orthopedics
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1043088347
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
-
dba Highlands Medical Center
- General Acute Care Hospital
- Scottsboro, AL
- NPI 1699444976
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1225023344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 BYRON RD",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357694051",
"telephone_number": "256-259-8765",
"fax_number": "256-716-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-219-8430"
}
],
"practiceLocations": [
{
"address_1": "750 Byron Rd",
"address_purpose": "LOCATION",
"city": "Scottsboro",
"state": "AL",
"postal_code": "357694051",
"country_code": "US",
"telephone_number": "256-259-8765",
"fax_number": "256-716-8060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "MICHAEL",
"middle_name": "GRAYSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "93682",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "17993",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256068200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00820619C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106277",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106278",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.