Individual provider Active NPI

Jordan Moss Simpson, DO

  • General Practice Physician
  • Rome, GA
National Provider Identifier
1871158840
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
87268 Issued in GA
Practice address
304 Shorter Ave NW Ste 201
Rome, GA 30165-4256
Phone
(706) 509-3300
Fax
(706) 509-3301
NPI assigned
May 6, 2019
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
General Practice Physician 208D00000X 87268 GA Primary

Addresses

Primary practice location

304 Shorter Ave NW Ste 201
Rome, GA 30165-4256

Mailing address

304 Shorter Ave NW Ste 201
Rome, GA 30165-4256
Phone (706) 509-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address toc@directfloydhealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20210226000550 GA Practitioner - Family PracticePractitioner - Hospitalist 4486980901 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians
Southland Bainbridge Hospitalist Group, LLCGroup PAC ID 7214248335, 54 clinicians

Practice addresses (Care Compare)

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-4340

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-2111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
77.5
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87268GAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC CurrentSince Feb 15, 2022 Accepting new patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Feb 15, 2022 Accepting new patients
24 On Physicians, P.C. CurrentSince Jul 25, 2022 Accepting new patients
Southland Chatuge Emergency Medical Services, LLC CurrentSince Feb 15, 2022 Accepting new patients
24 On Physicians, PC CurrentSince Jul 25, 2022 Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients
Union County Hospital Authority Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

Interoperability endpoints

  • Direct secure messaging: jsimpson913644@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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 3

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1871158840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SHORTER AVE NW STE 201",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654256",
            "telephone_number": "706-509-3300",
            "fax_number": "706-509-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SHORTER AVE NW STE 201",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654256",
            "telephone_number": "706-509-3300",
            "fax_number": "706-509-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JORDAN",
        "middle_name": "MOSS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "87268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "toc@directfloydhealthcare.org",
            "affiliation": "N",
            "address_1": "304 Shorter Ave NW Ste 201",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301654256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.