Active NPI
Charles William Simmons, M.D.
- Interventional Pain Medicine Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- D0065044
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102609154-0001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, FL
- 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
- Physical Medicine and Rehabilitation
- Education
- Howard University College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOO65044 | MD | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Pain Consultants LLC | Pain Medicine | Current | Accepting new patients |
| Advanced Pain Management Specialists, LLC | Pain Medicine | Current | Accepting new patients |
| Gulf Coast Pain Consultants LLC | Pain Medicine | Current | Accepting new patients |
| Advanced Pain Management Specialists, LLC | Interventional Pain Medicine | Current | 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
- 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.
-
dba Clearway Pain Solutions
- Interventional Pain Medicine Physician
- Annapolis, MD
- NPI 1861418220
DC
-
dba Clearway Pain Solutions Institute
- Interventional Pain Medicine Physician
- Pensacola, FL
- NPI 1669712287
-
dba Clearway Pain Solutions
- Durable Medical Equipment & Medical Supplies
- Silver Spring, MD
- NPI 1376355438
Pain Medicine
-
dba Clearway Pain Solutions Institute
- Durable Medical Equipment & Medical Supplies
- Fort Walton Beach, FL
- NPI 1083455299
Pain Medicine
-
dba Clearway Pain Solutions
- Clinical Medical Laboratory
- Owings Mills, MD
- NPI 1316315740
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Interventional Pain Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.