Simon E. Portee, M.D.
Individual provider Active NPI Emergency Medicine Physician · Greensboro, GA
NPI 1366469108 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366469108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 033177 (GA)
- Practice address
- 120 Siloam Road
Greensboro, GA 30642 - Phone
- (706) 453-5041
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Outreach Preventative Care Inc (Copc)
Practice addresses (Care Compare)
11680 Great Oaks Way
Alpharetta, GA 30022-2483
Phone (866) 243-3421
Hospital & facility affiliations
- Enhabit Home Health
- Central Home Health Care, an Amedisys Company
- Accentcare Home Health of Northeast Georgia
- Tugaloo Home Health Agency, an Amedisy Company
- Tugaloo Home Health Agency, an Amedisys Company
- Golden Rule Hospice, LLC.
- Lenox Hospice
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031208000443 | GA | Practitioner - Internal Medicine |
0446156988 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033177 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Outreach Preventative Care Inc (Copc) | Current |
Accepting new patients | |
| Recovery Consultants of Atlanta, Inc. | Current |
Accepting new patients | |
| U-First Healthcare LLC | Current |
Accepting new patients | |
| Recovery Consultants of Atlanta, Inc. | Current |
Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Past | Accepting new patients |
| Washington Wilkes Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Tenet Healthsystem SGH, Inc. | Past | Accepting new patients | |
| United Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| Carter Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Burke Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| North Georgia Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| BJC Medical Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Chestatee Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Hospital Authority of Jefferson County and the City of Louisville | Past | Accepting new patients | |
| Ogeechee Valley Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Hospital Authority of Jefferson County and the City of Louisville | Past | Accepting new patients | |
| Equity Advanced Nursing and Wellness Services LLC | Past | Accepting new patients | |
| Ideal Medical Group LLC | Past | Accepting new patients | |
| Morningside Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
11680 Great Oaks Way
Ste 170
Alpharetta, GA 30022
Phone (404) 296-1130
4229 Snapfinger Woods Dr
Decatur, GA 30035
Phone (404) 286-9252
10945 State Bridge Rd
Johns Creek, GA 30022
Phone (770) 619-2066
10945 State Bridge Rd
Ste 401115
Johns Creek, GA 30022
2323 Shallowford Rd
Ste 107
Marietta, GA 30066
4228 1st Ave
Ste 1
Tucker, GA 30084
Phone (770) 414-5758
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEGGAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 033177 | GA | Yes |
Addresses
Primary practice location
120 Siloam Road
Greensboro, GA 30642
Mailing address
5968 Gateway Blvd
Stone Mountain, GA 30087-6055
Phone (678) 476-1448
Other providers in Greensboro, GA
- Pathways to Healing LLC
- Performance Chiropractic & Wellness
- Perry K Lee OD PC
- Robert T Perry
- Juan Luis Pimentel Jr.
- Shelly Lovell Pound
- April Jackson Powell
- Linda M Price
- Professional Interpretive Neurodiagnostics, LLC
- Promotion Physical Therapy and Rehabilitation, LLC
All providers in Greensboro, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.