Individual provider Active NPI

Michael Grayson Simmons, MD

  • Urology Physician
  • Gainesville, GA
National Provider Identifier
1225023344
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
93682 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-8430
NPI assigned
Sep 14, 2005
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 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

IdentifierTypeStateIssuer
256068200MedicaidFL
00820619CMedicaidGA
106277MedicaidAL
106278MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20081119000660 AL Practitioner - Urology 5294799714 Reassigns benefits to 2 organizations
I20240619001542 KY Practitioner - Urology 5294799714 Reassigns benefits to 3 organizations
I20240708002147 GA Practitioner - Urology 5294799714 Reassigns benefits to 3 organizations

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
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians
Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians
MTN Lake Urology PCGroup PAC ID 7315007432, 2 clinicians
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17993ALMDUrology Physician
93682GAMDUrology Physician
17993TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group, Inc CurrentSince Apr 19, 2024 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Oct 14, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2024 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Apr 19, 2024 Accepting new patients
Alabama Cancer Care, LLC CurrentSince Jan 18, 2020 Accepting new patients
Piedmont Providers LLC CurrentSince Aug 1, 2025 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC Urology CurrentSince Oct 14, 2024 Accepting new patients
MTN Lake Urology PC CurrentSince Aug 25, 2008 Accepting new patients
Northeast Georgia Physicians Group Inc Urology CurrentSince Jan 13, 2025 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2024 Accepting new patients
Floyd Physicians, LLC Urology CurrentSince Jun 1, 2024 Accepting new patients
Piedmont Newnan Hospital, Inc. PastSince Aug 1, 2025 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

  • Direct secure messaging: 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.

View all 15

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": "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

Verify at the official NPI Registry.