Individual provider Active NPI

Michael Ross Simpson, DO

  • Family Medicine Physician
  • Dublin, VA
National Provider Identifier
1780652719
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102201994 Issued in VA
Practice address
5570 Cougar Trail Rd
Suite 320
Dublin, VA 24084-3849
Phone
(757) 955-2828
Fax
(757) 955-2829
NPI assigned
Mar 8, 2006
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52301 GA
Family Medicine Physician 207Q00000X 0102201994 VA Primary

Addresses

Primary practice location

5570 Cougar Trail Rd
Suite 320
Dublin, VA 24084-3849

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7600

Other practice location 1

4910 Valley View Blvd NW Fl 3
Roanoke, VA 24012-2040
Phone (540) 265-4210

Other identifiers 1

IdentifierTypeStateIssuer
1780652719MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICHAEL.SIMPSON@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110810000641 VA Practitioner - Family Practice 9931378841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians

Practice addresses (Care Compare)

1802 Braeburn Dr
Salem, VA 24153-7357

4550 Lee Hwy
Suite B
Dublin, VA 24084-3820
Phone (540) 674-4560

4910 Valley View Blvd NW
FL 3
Roanoke, VA 24012-2040
Phone (540) 265-4210

4910 Valley View Nwblvd
Roanoke, VA 24012-2040
Phone (540) 265-1607

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52301GAMDFamily Medicine Physician
0102201994VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis Gale Physicians LLC CurrentSince Sep 1, 2014 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4550 Lee Hwy
Ste B
Dublin, VA 24084
Phone (540) 674-4560

5570 Cougar Trail Rd
Ste 320
Dublin, VA 24084
Phone (757) 955-2828

4910 Valley View Blvd NW
Roanoke, VA 24012
Phone (540) 265-1600

4910 Valley View Blvd NW
Fl 3
Roanoke, VA 24012
Phone (540) 265-4210

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: michael.simpson@hca6.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1780652719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 COUGAR TRAIL RD",
            "address_2": "SUITE 320",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843849",
            "telephone_number": "757-955-2828",
            "fax_number": "757-955-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Valley View Blvd NW Fl 3",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240122040",
            "country_code": "US",
            "telephone_number": "540-265-4210",
            "fax_number": "540-265-4219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "MICHAEL",
        "middle_name": "ROSS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-01-04",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "52301",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780652719",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHAEL.SIMPSON@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4910 Valley View Blvd NW Fl 3",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240122040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

Verify at the official NPI Registry.