Eugene Ainsworth Simmons Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17670 Issued in MS

Practice address

624 Highway 51 N
Brookhaven, MS 39601-2337

Phone

(601) 823-3098

Fax

(601) 823-3099

NPI assigned

Mar 29, 2006

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 MS

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

Specialty

Ophthalmology

Education

University of Mississippi School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Specialists of Mississippi, PLLCGroup PAC ID 8820370133, 7 clinicians

KDMC Physician Clinics LLCGroup PAC ID 7012154495, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2667/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/6393/brand/1/csg/41/fhir/r4

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.

• KDMC Physician Clinics LLC

  • Multi-Specialty Clinic/Center
  • Brookhaven, MS
  • NPI 1861739161
  Medicare reassignment Care Compare group NPD
• Retina Specialists of Mississippi, PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Hattiesburg, MS
  • NPI 1588109821
  Medicare reassignment Care Compare group NPD
• Gptrs II

  • Physical Therapist
  • Ridgeland, MS
  • NPI 1174851984
  NPD (past)
• Heartsouth PLLC

  • Cardiovascular Disease Physician
  • Hattiesburg, MS
  • NPI 1316967219

  Ophthalmology

  NPD (past)
• Kebert Eye Clinic PLLC

  • Optician
  • McComb, MS
  • NPI 1003098898
  NPD (past)
• Sunil Gupta MD LLC

  • Ophthalmology Physician
  • Pensacola, FL
  • NPI 1588610075
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• King'S Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  Care Compare affiliation

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1992766943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012337",
            "telephone_number": "601-823-3098",
            "fax_number": "601-823-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012337",
            "telephone_number": "601-823-3098",
            "fax_number": "601-823-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "EUGENE",
        "middle_name": "AINSWORTH",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "17670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06131738",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Ray Shann, MD
• Dana Shoemake
• Silver Cross Home
• Silver Cross Home
• Simmons Eye Clinic, LLC.
• Timothy Slay, PT
• Kelly Michelle Smallwood, PTA
• Smith Eye Care PC
• Amy M Smith, CFNP
• Antonette Smith

• Ophthalmology Physician in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.