DR. AUSTIN GRANT SIMMONS DO
NPI 1063200228
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Active since April 28, 2025PECOS Enrolled
1300 S COUNTRY CLUB DR STE 3, MESA, AZ 85210(480) 827-5500 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Austin Grant Simmons Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AUSTIN GRANT SIMMONS DO (NPI 1063200228) is an individual student in an organized health care education/training program in Mesa, Arizona and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063200228
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. AUSTIN GRANT SIMMONSCredential: DO
Location Address1300 S COUNTRY CLUB DR STE 3Mesa, AZ 85210-5162
Mailing Address1300 S Country Club Dr Ste 3Mesa, AZ 85210-5162 · (480) 827-5500
Sole ProprietorNo
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1063200228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1300 S COUNTRY CLUB DR STE 3, Mesa, AZ 85210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Austin Grant Simmons Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Nurse Practitioner (Family)
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Family Medicine
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Austin Simmons's NPI number?

The NPI number for Austin Simmons is 1063200228. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Austin Simmons located?

Austin Simmons practices at 1300 S Country Club Dr Ste 3, Mesa, AZ 85210. The listed phone number is (480) 827-5500.

What is Austin Simmons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Austin Simmons enrolled in Medicare?

Yes. Austin Simmons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Austin Simmons was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.