Individual provider Active NPI

John R Simpson, M.D., D.D.S, F.A.C.S

  • Otolaryngology Physician
  • Athens, GA
National Provider Identifier
1427050467
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
031126 Issued in GA
Practice address
700 Sunset Dr
Suite 103
Athens, GA 30606-2293
Phone
(706) 546-0144
Fax
(706) 543-9203
NPI assigned
Aug 10, 2005
Reactivated
May 2, 2006
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 031126 GA
Otolaryngology Physician 207Y00000X 031126 GA Primary

Addresses

Primary practice location

700 Sunset Dr
Suite 103
Athens, GA 30606-2293

Mailing address

700 Sunset Dr
Suite 103
Athens, GA 30606-2293
Phone (706) 546-0144

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
I20050114000518 GA Practitioner - Otolaryngology 6901855154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

259 N Broad St
Winder, GA 30680-6210
Phone (770) 867-1131

700 Sunset Dr
Athens, GA 30606-2287
Phone (706) 546-0144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Winder ENT Center Otolaryngology CurrentSince Mar 5, 2008 Accepting new patients
Northeast Georgia ENT-Head & Neck Surgery PC Otolaryngology CurrentSince Sep 26, 2007 Accepting new patients

Locations

700 Sunset Dr
Ste 103
Athens, GA 30606
Phone (706) 353-3600

259 N Broad St
Winder, GA 30680
Phone (706) 546-0144

314 N Broad St
#1735
Winder, GA 30680
Phone (770) 867-1131

Interoperability endpoints

  • Direct secure messaging: jsimpson@johnsimpsonmd.directglo.com

Organizations & group practices 2

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 1

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1427050467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR",
            "address_2": "SUITE 103",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062293",
            "telephone_number": "706-546-0144",
            "fax_number": "706-543-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR",
            "address_2": "SUITE 103",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062293",
            "telephone_number": "706-546-0144",
            "fax_number": "706-543-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.D., D.D.S, F.A.C.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "031126",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "031126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.