Individual provider Active NPI

Hewatt M Sims, MD

  • Orthopaedic Surgery of the Spine Physician
  • Douglas, GA
National Provider Identifier
1386653061
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
048965 Issued in GA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
368937772CMedicaidGA
048965OtherGAMEDICAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000665 GA Practitioner - Orthopedic Surgery 5294770061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Mercer University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Care Medical Center LLCGroup PAC ID 6406807015, 28 clinicians

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

ProcedureNumber of procedures
Spinal fusion38
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

LicenseStateTypeSpecialty
048965GAMDOrthopaedic Surgery of the Spine Physician
40100WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harley's Endeavors, LLC Orthopaedic Surgery Current Accepting new patients
Care Medical Center LLC CurrentSince Mar 6, 2025 Accepting new patients
Orthopedic Surgeons of Georgia, LLC CurrentSince Sep 1, 2011 Accepting new patients
Orthopedic Surgeons of Georgia LLC Orthopaedic Surgery CurrentSince Sep 1, 2011 Accepting new patients
Care Medical Center LLC CurrentSince Mar 6, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/11118/brand/5/csg/22/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.