Mary Alice Simonton, PAAA

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

002350 Issued in GA

Practice address

6649 Lake Dr
Morrow, GA 30260-2354

Phone

(770) 968-9978

Fax

(770) 968-9975

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

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.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  GA

  Medicare reassignment Care Compare group NPD
• Ad of Georgia PC

  • Anesthesiology Physician
  • Gainesville, GA
  • NPI 1144073818
  Medicare reassignment
• Integrity Anesthesia P.C.

  • Specialist
  • Dahlonega, GA
  • NPI 1891864658
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831235050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6649 LAKE DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602354",
            "telephone_number": "770-968-9978",
            "fax_number": "770-968-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 LAKE DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602354",
            "telephone_number": "770-968-9978",
            "fax_number": "770-968-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONTON",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "credential": "PAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "002350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anamika Sharma
• Sharon's Home Care
• Naiomi Michelle Shockley, CPNP
• Najeeb Khalid Siddiq, MD
• Mindy Ann Simmons, MS, ATC, LAT, CSCS
• Marquida Sims
• Tyshemala Singleton
• Kirk L Smick, O.D.
• Sherrie Elizabeth Smith-Scott, DDS
• Brenton Smith, O.D.

• Anesthesiologist Assistant in Morrow, GA
• Providers in Morrow, GA by specialty
• Anesthesiologist Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.