Individual provider Active NPI

Sylvia Simon, M.D.

  • Family Medicine Physician
  • Monticello, AR
National Provider Identifier
1639159676
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2968 Issued in AR
Practice address
906 Roberts Dr
Monticello, AR 71655-5724
Phone
(870) 367-6867
Fax
(870) 367-1461
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2968 AR Primary

Addresses

Primary practice location

906 Roberts Dr
Monticello, AR 71655-5724

Mailing address

906 Roberts Dr
Monticello, AR 71655-5724
Phone (870) 367-6867

Other identifiers 2

IdentifierTypeStateIssuer
145159001MedicaidAR
192750000OtherARQUALCHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20060117001150 AR Practitioner - Family Practice 9032133038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1601 W 40TH Ave
Pine Bluff, AR 71603-6346

1609 W 40TH Ave
Pine Bluff, AR 71603-6319

201 Fairview Rd
Suite a
Crossett, AR 71635-4537
Phone (870) 364-0000

733 Roberts Dr
Monticello, AR 71655-5724
Phone 87046047634763

906 Roberts Dr
Monticello, AR 71655-5724

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Hospital Association, Inc Current Accepting new patients
Arkansas Health Group CurrentSince Apr 1, 2026 Accepting new patients
Jefferson Hospital Association, Inc Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Jefferson Hospital Association, Inc Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Arkansas Health Group CurrentSince Apr 1, 2026 Accepting new patients
MMC Rural Health Clinics, PLLC PastSince Oct 16, 2017 Accepting new patients

Locations

201 Fairview Rd
Ste A
Crossett, AR 71635
Phone (870) 364-0000

906 Roberts Dr
Monticello, AR 71655
Phone (870) 367-6867

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

906 Roberts Dr
Ste B
Monticello, AR 71655
Phone (870) 367-1461

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

Interoperability endpoints

  • Direct secure messaging: sylvia.simon@montmed.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1639159676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ROBERTS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555724",
            "telephone_number": "870-367-6867",
            "fax_number": "870-367-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 ROBERTS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555724",
            "telephone_number": "870-367-6867",
            "fax_number": "870-367-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "SYLVIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145159001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "192750000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

Verify at the official NPI Registry.