Mariann Simpson, P.A. – Physician Assistant

Key facts

NPI: 1245213883
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 004431 (GA)
Practice address: 1100 Northside Forsyth Dr
Suite 240
Cumming, GA 30041-6012
Phone: (678) 947-6440
Fax: (678) 947-0172
NPI assigned: Nov 29, 2005
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Qcpi-Villagemd, PC Family Medicine Physician · Atlanta, GA · NPI 1558872432

Medicare reassignment Care Compare group GA
Qcpi-Villagemd, PC Rural Health Clinic/Center · Monticello, GA · NPI 1508720822

Care Compare group
North Lexington Urgent Treatment Associates PSC Internal Medicine Physician · Lexington, KY · NPI 1396724092

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Northside Hospital, Inc. General Acute Care Hospital · Cumming, GA · NPI 1376574277

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 1987
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Qcpi-Villagemd PC (76 clinicians)

Practice addresses (Care Compare)

1805 Parke Plaza Cir
Suite 101
Stone Mountain, GA 30087-3646
Phone (770) 879-0436

2595 Peachtree Pkwy
Cumming, GA 30041-7223
Phone (678) 666-5444

3970 Deputy Bill Cantrell Mem
Suite 150
Cumming, GA 30040-3069
Phone (770) 781-8004

Hospital & facility affiliations

Northside Hospital Forsyth Hospital · Cumming, GA · CCN 110005

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20150423001061	GA	Practitioner - Physician Assistant	8921091596	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
004431	GA	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
North Lexington Urgent Treatment Associates PSC		Past	Accepting new patients

Interoperability endpoints

Direct secure messaging: mariannsimpson@mfm.allscriptsdirect.net
Direct secure messaging: mariann.simpson.1@21533.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	004431	GA	Yes

Addresses

Primary practice location

1100 Northside Forsyth Dr
Suite 240
Cumming, GA 30041-6012

Mailing address

3400C Old Milton Pkwy
Suite 270
Alpharetta, GA 30005-3707
Phone (770) 442-1911

Other providers in Cumming, GA

All providers in Cumming, GA · Physician Assistant in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.