Active NPI
Hewatt M Sims, MD
- Orthopaedic Surgery of the Spine Physician
- Douglas, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 048965
- Practice address
- 100 Doctors Dr Ste F
Douglas, GA 31533-2211 - Phone
- (912) 383-6575
- Fax
- (912) 383-6476
- NPI assigned
- Aug 5, 2006
- Last updated
- Sep 13, 2017
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 048965 | GA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 048965 | GA | Primary |
Addresses
Primary practice location
100 Doctors Dr Ste F
Douglas, GA 31533-2211
Mailing address
100 Doctors Dr
Ste I
Douglas, GA 31533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 368937772C | Medicaid | GA | |
| 048965 | Other | GA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Mercer University School of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 Doctors Dr
Suite I
Douglas, GA 31533-2211
Phone (912) 383-6575
11 Cross St
Hazlehurst, GA 31539-6427
Phone (912) 383-6575
1622 Madison Ave
Tifton, GA 31794-3756
Phone (229) 387-8061
2804 N Oak St
Suite C
Valdosta, GA 31602-5913
Phone (229) 241-8925
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 38 |
| Laminectomy or laminotomy (partial removal of spine bones) | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048965 | GA | MD | Orthopaedic Surgery of the Spine Physician |
| 40100 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harley's Endeavors, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Care Medical Center LLC | Current | Accepting new patients | |
| Orthopedic Surgeons of Georgia, LLC | Current | Accepting new patients | |
| Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Care Medical Center LLC | Current | Accepting new patients | |
| Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Valdosta Orthopedic Associates PC | Orthopaedic Surgery | Past | Accepting new patients |
| Tift Regional Health System Inc. | Past | Accepting new patients |
Locations
100 Doctors Dr
Ste F
Douglas, GA 31533
Phone (912) 383-4945
100 Doctors Dr
Ste I
Douglas, GA 31533
Phone (912) 383-6575
11 Cross St
Hazlehurst, GA 31539
Phone (912) 375-2884
162 Virginia Ave S
Tifton, GA 31794
Phone (229) 241-8925
1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061
2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925
Interoperability endpoints
- https://api.platform.athenahealth.com/11118/brand/5/csg/22/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 9
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.
-
- Exclusive Provider Organization
- Valdosta, GA
- NPI 1063521250
-
dba Orthopedic Surgeons of Georgia
- Orthopaedic Surgery Physician
- Douglas, GA
- NPI 1427337294
-
- Orthopaedic Surgery Physician
- Tifton, GA
- NPI 1003305707
-
- Chiropractor
- Waycross, GA
- NPI 1376236232
-
dba Orthopedic Surgeons of Georgia
- Orthopaedic Surgery Physician
- Valdosta, GA
- NPI 1306125174
-
dba Optim Pain Management - Tifton
- Pain Clinic/Center
- Tifton, GA
- NPI 1164857686
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
-
dba Valdosta Orthopedic Associates
- Orthopaedic Surgery Physician
- Valdosta, GA
- NPI 1053457457
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Coffee Regional Medical Center
- General Acute Care Hospital
- Douglas, GA
- NPI 1760419527
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505260800000",
"number": "1386653061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DOCTORS DR",
"address_2": "STE I",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "31533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DOCTORS DR STE F",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332211",
"telephone_number": "912-383-6575",
"fax_number": "912-383-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "HEWATT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2017-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "048965",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "GA",
"license": "048965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "368937772C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "048965",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.