Active NPI
Richard S Simmons II, MD
- Pulmonary Disease Physician
- Lagrange, GA
National Provider Identifier
1417942293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 28651
- Practice address
- 1551 Doctors Drive
Building 200
Lagrange, GA 30240-4139 - Phone
- (706) 884-3389
- Fax
- (706) 880-7223
- NPI assigned
- Sep 16, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 28651 | GA | |
| Pulmonary Disease Physician | 207RP1001X | 28651 | GA | Primary |
| Specialist | 174400000X | 028651 | GA | |
| Specialist | 174400000X | 28651 | GA |
Addresses
Primary practice location
1551 Doctors Drive
Building 200
Lagrange, GA 30240-4139
Mailing address
1551 Doctors Drive
Building 200
Lagrange, GA 30240-4139
Phone (706) 884-3389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00327533A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rsimmons134932@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28651 | GA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Cardiopulmonary Associates PC | Specialist | Current | Accepting new patients |
Locations
1551 Doctors Dr
Bldg 200
Lagrange, GA 30240
Phone (706) 884-2641
1602 Vernon Rd
Ste 300
Lagrange, GA 30240
Phone (706) 242-5100
Interoperability endpoints
- richard.simmons@westgahealth.gadirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Lagrange, GA
- NPI 1841285004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1417942293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 DOCTORS DRIVE",
"address_2": "BUILDING 200",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404139",
"telephone_number": "706-884-3389",
"fax_number": "706-880-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 DOCTORS DRIVE",
"address_2": "BUILDING 200",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404139",
"telephone_number": "706-884-3389",
"fax_number": "706-880-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "RICHARD",
"middle_name": "S",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "GA",
"license": "28651",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "28651",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "028651",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "28651",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00327533A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rsimmons134932@directwellstar.org",
"affiliation": "N",
"address_1": "1551 Doctors Drive",
"address_2": "BUILDING 200",
"city": "Lagrange",
"state": "GA",
"country_code": "US",
"postal_code": "302404139",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.