Individual provider Active NPI

Sultan Jabari Simms, M.D.

  • Psychiatry Physician
  • East Point, GA
National Provider Identifier
1851330310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
055975 Issued in GA
Practice address
3455 N Desert Dr
Building 3, Suite 106
East Point, GA 30344-5725
Phone
(404) 768-4600
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 055975 GA Primary

Addresses

Primary practice location

3455 N Desert Dr
Building 3, Suite 106
East Point, GA 30344-5725

Mailing address

PO Box 44281
Atlanta, GA 30336-1281
Phone (404) 861-4085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050816000052 GA Practitioner - Psychiatry 8022048578 Reassigns benefits to 1 organization
I20160617001053 NC Practitioner - Psychiatry 8022048578

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055975GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical of Michigan PC Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Fulton County Mental Health Center Past Accepting new patients
Fulton County Mhddad Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1700 Northside Dr NW
Ste A7
Atlanta, GA 30318
Phone (513) 633-0088

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851330310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44281",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303361281",
            "telephone_number": "404-861-4085",
            "fax_number": "770-969-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 N DESERT DR",
            "address_2": "BUILDING 3, SUITE 106",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445725",
            "telephone_number": "404-768-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "SULTAN",
        "middle_name": "JABARI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "055975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.