NPIMap

Individual provider Active NPI

Anthony Sims, M.D.

  • Family Medicine Physician
  • Henagar, AL
National Provider Identifier
1992786636
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00024870 Issued in AL
Practice address
18324 Alabama Highway 75
Henagar, AL 35978
Phone
(256) 657-1101
Fax
(256) 657-1115
NPI assigned
Nov 9, 2005
Last updated
Jan 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00024870 AL Primary

Addresses

Primary practice location

18324 Alabama Highway 75
Henagar, AL 35978

Mailing address

P.O. Box 518
Henagar, AL 35978
Phone (256) 657-1101

Other identifiers 1

IdentifierTypeStateIssuer
051522432MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812001118 AL Practitioner - Family Practice 3577533900 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dekalb Primary CareGroup PAC ID 3274071915, 8 clinicians

Practice addresses (Care Compare)

18324 Broad St
Henagar, AL 35978-4375
Phone (256) 657-1101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00024870ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mat Medical LLC CurrentSince Oct 30, 2021 Accepting new patients
Fort Payne Clinic Corp CurrentSince Oct 15, 2023 Accepting new patients
Fort Payne Clinic Corp. CurrentSince Oct 15, 2023 Accepting new patients
Dekalb Primary Care CurrentSince Jun 12, 2024 Accepting new patients
Henry M Born MD PC Family Medicine PastSince Oct 30, 2021 Accepting new patients

Locations

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

315 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0345

18324 Broad St
Henagar, AL 35978
Phone (256) 657-1101

3871 US Highway 278 E
Hokes Bluff, AL 35903
Phone (256) 251-3000

Interoperability endpoints

  • Direct secure messaging: anthony.sims.1@30893.direct.athenahealth.com
  • Direct secure messaging: anthony.sims@hfml-al.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southerncare New Beacon - ScottsboroScottsboro, AL, CCN 011512 Hospice W-2 Managing Employee May 13, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 12

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1992786636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 518",
            "city": "HENAGAR",
            "state": "AL",
            "postal_code": "35978",
            "telephone_number": "256-657-1101",
            "fax_number": "256-657-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18324 ALABAMA HIGHWAY 75",
            "city": "HENAGAR",
            "state": "AL",
            "postal_code": "35978",
            "telephone_number": "256-657-1101",
            "fax_number": "256-657-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00024870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051522432",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henagar, AL

Sources for this page

Verify at the official NPI Registry.