LAVONE E SIMMONS
NPI 1093825911
Obstetrics & Gynecology - Maternal & Fetal Medicine in Atlanta, GA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
980 JOHNSON FERRY RD, SUITE 660, ATLANTA, GA 30342(404) 857-1580(404) 303-2015 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lavone E Simmons NPPES

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

LAVONE E SIMMONS (NPI 1093825911) is an individual maternal & fetal medicine provider in Atlanta, Georgia, licensed in Georgia (72124) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2004).

NPPES Registry Identity

NPI1093825911
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameLAVONE E SIMMONS
Location Address980 JOHNSON FERRY RD, SUITE 660Atlanta, GA 30342-1626
Mailing Address980 Johnson Ferry Rd, Suite 660Atlanta, GA 30342-1626 · (404) 857-1580 · Fax (404) 303-2015
Fax(404) 303-2015
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2004
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 19, 2014
NPI 1093825911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License Licensed in GA · 72124
Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD60036782 (WA)
980 JOHNSON FERRY RD, Atlanta, GA 30342

Other Identifiers 3

Medicare PIN8875525WA
Other0239553WA · L&i
Medicaid1093825911WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lavone E Simmons is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274600259
PECOS Enrollment IDI20080916000672
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$178.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Occupational Therapist
980 JOHNSON FERRY RD, SUITE 1000
ATLANTA, GA 30342
Surgery
980 JOHNSON FERRY RD, STE 940
ATLANTA, GA 30342
Physician Assistant
980 JOHNSON FERRY RD, STE 1040
ATLANTA, GA 30342
Physician Assistant (Medical)
980 JOHNSON FERRY RD, SUITE 940
ATLANTA, GA 30342
Surgery (Surgical Oncology)
980 JOHNSON FERRY RD, SUITE 170
ATLANTA, GA 30342
Internal Medicine (Cardiovascular Disease)
980 JOHNSON FERRY RD, SUITE 520
ATLANTA, GA 30342
Nurse Practitioner (Adult Health)
980 JOHNSON FERRY RD, STE 520
ATLANTA, GA 30342
Physician Assistant
980 JOHNSON FERRY RD, STE 900
ATLANTA, GA 30342

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 Lavone Simmons's NPI number?

The NPI number for Lavone Simmons is 1093825911. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Lavone Simmons located?

Lavone Simmons practices at 980 Johnson Ferry Rd Suite 660, Atlanta, GA 30342. The listed phone number is (404) 857-1580.

What is Lavone Simmons's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Lavone Simmons enrolled in Medicare?

Yes. Lavone Simmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lavone Simmons accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lavone Simmons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lavone Simmons was last updated on November 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.