Individual provider Active NPI

Charles William Simmons, M.D.

  • Interventional Pain Medicine Physician
  • Annapolis, MD
National Provider Identifier
1255451183
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
D0065044 Issued in MD
Practice address
810 Bestgate Rd Ste 220
Annapolis, MD 21401-3648
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Apr 2, 2007
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X DOO65044 MD
Interventional Pain Medicine Physician 208VP0014X D0065044 MD Primary

Addresses

Primary practice location

810 Bestgate Rd Ste 220
Annapolis, MD 21401-3648

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (855) 527-7246

Other identifiers 1

IdentifierTypeStateIssuer
102609154-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, FL3 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
I20120621000048 MD Practitioner - Physical Medicine and Rehabilitation 0143499558 Reassigns benefits to 1 organization
I20170308000981 DC Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0143499558 Reassigns benefits to 1 organization
I20211109000831 FL Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0143499558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Howard University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Pain Consultants LLCGroup PAC ID 1658516570, 37 clinicians

Practice addresses (Care Compare)

110 Hospital Rd
Suite 305
Prince Frederick, MD 20678-4044
Phone (410) 571-2946

120 Sallitt Dr
Suite D
Stevensville, MD 21666-2154
Phone (410) 571-2946

4901 Market Place Rd
Pensacola, FL 32504-8986
Phone (850) 484-4080

7704 Quarterfield Rd
Suite E
Glen Burnie, MD 21061-4412
Phone (855) 527-7246

810 Bestgate Rd
Suite 220
Annapolis, MD 21401-3648
Phone (410) 571-2946

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOO65044MDMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pain Consultants LLC Pain Medicine CurrentSince Oct 1, 2021 Accepting new patients
Advanced Pain Management Specialists, LLC Pain Medicine CurrentSince Sep 14, 2017 Accepting new patients
Gulf Coast Pain Consultants LLC Pain Medicine CurrentSince Oct 1, 2021 Accepting new patients
Advanced Pain Management Specialists, LLC Interventional Pain Medicine CurrentSince Sep 14, 2017 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients

Locations

4901 Grande Dr
Ste A
Pensacola, FL 32504

4901 Market Place Rd
Pensacola, FL 32504

5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800

1040 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-6555

201 Defense Hwy
Ste 205
Annapolis, MD 21401

810 Bestgate Rd
Ste 120
Annapolis, MD 21401

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

4660 Wilkens Ave
Ste 208
Baltimore, MD 21229

602 S Atwood Rd
Ste 103
Bel Air, MD 21014
Phone (410) 836-7119

1576 Merritt Blvd
Ste 18
Dundalk, MD 21222
Phone (443) 530-9750

499 Idlewild Ave
Ste 105
Easton, MD 21601

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

19851 Observation Dr
Ste 360
Germantown, MD 20876

7671 Quarterfield Rd
Ste 301
Glen Burnie, MD 21061
Phone (410) 457-3041

7671 Quarterfield Rd
Ste 301B
Glen Burnie, MD 21061

8100 Sandpiper Cir
Ste 214
Nottingham, MD 21236
Phone (443) 442-0500

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

9 Park Center Ct
Ste 100
Owings Mills, MD 21117
Phone (410) 205-7667

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

160 Sallitt Dr
Ste 100
Stevensville, MD 21666
Phone (410) 224-0143

6569 N Charles St
Ste 500
Towson, MD 21204
Phone (410) 296-6090

3261 Old Washington Rd
Ste 3010A
Waldorf, MD 20602

826 Washington Rd
Ste 210
Westminster, MD 21157
Phone (410) 346-5163

Interoperability endpoints

  • Direct secure messaging: charles.simmons.1@11679.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1255451183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 220",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013648",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "DOO65044",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D0065044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102609154-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.