SANDRA PATRICIA SIMMS PHYSICAL THERAPIST
NPI 1215176730
Physical Therapist in Conyers, GA

Active since February 05, 2009Accepts Medicare Assignment
2729 BLACK SHOALS RD NE, CONYERS, GA 30012(404) 271-9184(770) 760-9767 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandra Patricia Simms Physical Therapist NPPES

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

SANDRA PATRICIA SIMMS PHYSICAL THERAPIST (NPI 1215176730) is an individual physical therapist in Conyers, Georgia, licensed in Georgia (2860) and active in the NPI registry since February 2009. She is a graduate of Other (1989).

NPPES Registry Identity

NPI1215176730
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSANDRA PATRICIA SIMMSCredential: PHYSICAL THERAPIST
Location Address2729 BLACK SHOALS RD NEConyers, GA 30012-1901
Mailing Address2729 Black Shoals Rd NeConyers, GA 30012-1901 · (404) 271-9184 · Fax (770) 760-9767
Fax(770) 760-9767
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateFebruary 5, 2009
Last NPPES UpdateFebruary 12, 2009
✔ NPI 1215176730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in GA · 2860
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2729 BLACK SHOALS RD NE, Conyers, GA 30012

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Patricia Simms Physical Therapist 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 ID4880505072
PECOS Enrollment IDI20091116000093

Medicare Billing Reassignments

3

Medicare enrollment records show Sandra Simms reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
2729 BLACK SHOALS RD NE
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia enrollment
Physical Therapy
2745 DEKALB MEDICAL PKWY
Lithonia, GA 30058
  • Reassigned Medicare billing, Georgia enrollment
  • 322 clinicians in this Medicare group
Physical Therapist
260 PEACHTREE ST NW STE 2200
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 323 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
395 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%37 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Physical Therapy)
2729 BLACK SHOALS RD NE
CONYERS, GA 30012
Physical Therapy Assistant
2729 BLACK SHOALS RD NE
CONYERS, GA 30012

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 Sandra Simms's NPI number?

The NPI number for Sandra Simms is 1215176730. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Where is Sandra Simms located?

Sandra Simms practices at 2729 Black Shoals Rd NE, Conyers, GA 30012. The listed phone number is (404) 271-9184.

What is Sandra Simms's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sandra Simms enrolled in Medicare?

Yes. Sandra Simms 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.

Which organizations bill Medicare for Sandra Simms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Simms reassigns Medicare benefits to 3 organizations: Pacesetter Pt Services, Inc (Conyers, GA), Emory Physical Therapy, LLC (Lithonia, GA) and Georgia Luna Care Physical Therapy LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Simms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Simms accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Sandra Simms 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 Sandra Simms was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.