Active NPI
Michael Ross Simpson, DO
- Family Medicine Physician
- Dublin, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102201994
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780652719 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52301 | GA | MD | Family Medicine Physician |
| 0102201994 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis Gale Physicians LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Salem, VA
- NPI 1902977705
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Roanoke, VA
- NPI 1124059688
-
dba Lewisgale Medical Center
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
-
dba Medi Home Health Agency
- Home Health Agency
- Pulaski, VA
- NPI 1528013208
-
dba Lewisgale Hospital Pulaski
- General Acute Care Hospital
- Pulaski, VA
- NPI 1205882396
-
dba LewisGale Hospital Pulaski
- Psychiatric Hospital Unit
- Pulaski, VA
- NPI 1477018893
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.