David Wayne Simons, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TL1906 Issued in SC

Practice address

1033 Edgefield St
Greenwood, SC 29646-3205

Phone

(864) 227-3908

Fax

(864) 227-2668

NPI assigned

Mar 29, 2013

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 1

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Self Medical Group

  • Surgery Physician
  • Greenwood, SC
  • NPI 1982836847

  SC

  Medicare reassignment Care Compare group
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  Care Compare group NPD
• Sound Physicians of South Carolina, LLC

  • Hospitalist Physician
  • Aiken, SC
  • NPI 1922428358

  SC

  Medicare reassignment
• David Andrew Steiner, M.D.

  • Psychiatry Physician
  • Aiken, SC
  • NPI 1972508802

  GA

  Medicare reassignment
• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823

  SC

  Medicare reassignment
• Self Medical Group

  • Rural Health Clinic/Center
  • Saluda, SC
  • NPI 1184219214
  Care Compare group
• Self Medical Group

  • Neurological Surgery Physician
  • Greenwood, SC
  • NPI 1902277270
  Care Compare group
• Self Medical Group

  • Psychiatry Physician
  • Greenwood, SC
  • NPI 1205253820
  NPD
• Aiken Professional Association, LLC

  • Internal Medicine Physician
  • Aiken, SC
  • NPI 1639479801
  NPD (past)
• Aiken Psychotherapy

  • Clinical Nurse Specialist
  • Aiken, SC
  • NPI 1659543262
  NPD (past)
• Self Medical Group

  • Gastroenterology Physician
  • Greenwood, SC
  • NPI 1841047560
  NPD (past)

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1851634653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 EDGEFIELD ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463205",
            "telephone_number": "864-227-3908",
            "fax_number": "864-227-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 EDGEFIELD ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463205",
            "telephone_number": "864-227-3908",
            "fax_number": "864-227-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "TL1906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Ann Shurling, M.D.
• Wayne B Sida, MD
• Edward Sidorov, PHARMD
• Katherine Sikes, PHARMD
• Tara Ann Simmons, COTA/L
• Locke E Simons
• Suzanne Simons, FNP
• Michelle R Simpkins
• Jackqueline Ballentine Sims, FNP
• Ashmeet Singh, DO

• All providers in Greenwood, SC
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.

Verify at the official NPI Registry.