Gary A Simms, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN013291 Issued in GA

Practice address

4570 Memorial Dr
Decatur, GA 30032-1447

Phone

(404) 292-3133

Fax

(404) 294-5270

NPI assigned

Dec 20, 2006

Last updated

Mar 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Metro Decatur Dental Group

  • Dentist
  • Decatur, GA
  • NPI 1710136866
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1659435030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 MEMORIAL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321447",
            "telephone_number": "404-292-3133",
            "fax_number": "404-294-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 MEMORIAL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321447",
            "telephone_number": "404-292-3133",
            "fax_number": "404-294-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694565025A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Simmons-Miller, RBT
• Ashley Simmons
• Megan Simmons, LMT
• Oletha Doss Simmons, DDS
• Deborah Simms
• Sicura Simms
• Natacha Simon-Christie, DNP, CRNA
• Nia Nikkia Simon
• Rochelle A Simon, MD
• Timothy Simon, MD

• Dentist in Decatur, GA
• Providers in Decatur, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.