Earl Malcolm Simmons III, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

17756 Issued in AL

Practice address

1010 1St St N
Suite 350
Alabaster, AL 35007-8608

Phone

(205) 664-9995

Fax

(205) 621-9327

NPI assigned

Feb 19, 2007

Last updated

Jan 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Complete Women's Care of Alabama, PC

  • Obstetrics & Gynecology Physician
  • Alabaster, AL
  • NPI 1770627929
  Medicare reassignment
• Caroline a Reich MD PC

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1982882270
  NPD
• Affinity Hospital LLC

  dba Grandview Medical Center

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1699819920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 1ST ST N",
            "address_2": "SUITE 350",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078608",
            "telephone_number": "205-664-9995",
            "fax_number": "205-621-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 1ST ST N",
            "address_2": "SUITE 350",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078608",
            "telephone_number": "205-664-9995",
            "fax_number": "205-621-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "EARL",
        "middle_name": "MALCOLM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "17756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009965705",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AL",
            "identifier": "51523914",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Ridge Acquisition Corporation (Shelby Ridge Nursing Home)
• Shelby-Chilton Hematology and Oncology LLC
• Rex Alan Sherer, M.D.
• Joshua Peter Shoemake, LPC
• Jackson Sills, DPT
• Everitt Newton Simmons, MD
• Kathleen Simone, LAT, ATC
• Simply Healing Hands Home Healthcare, LLC
• Breanne L Singletary, NP
• Skylark Medical, LLC

• Obstetrics & Gynecology Physician in Alabaster, AL
• Providers in Alabaster, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.