MARIANN SIMPSON P.A.
NPI 1245213883
Physician Assistant in Cumming, GA

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
1100 NORTHSIDE FORSYTH DR, SUITE 240, CUMMING, GA 30041(678) 947-6440(678) 947-0172 Get Directions Write a Review

NPPES record last updated: October 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariann Simpson P.a. NPPES

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

MARIANN SIMPSON P.A. (NPI 1245213883) is an individual physician assistant in Cumming, Georgia, licensed in Georgia (004431) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1245213883
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIANN SIMPSONCredential: P.A.
Location Address1100 NORTHSIDE FORSYTH DR, SUITE 240Cumming, GA 30041-6012
Mailing Address3400c Old Milton Pkwy, Suite 270Alpharetta, GA 30005-3707 · (770) 442-1911 · Fax (770) 663-8905
Fax(678) 947-0172
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 29, 2005
Last NPPES UpdateOctober 20, 2008
NPI 1245213883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 004431
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1100 NORTHSIDE FORSYTH DR, Cumming, GA 30041

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

Mariann Simpson P.a. 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 ID8921091596
PECOS Enrollment IDI20150423001061
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.

Areas of Expertise CMS Part B claims 16

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
454 services301 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
220 services220 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services120 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
91 services91 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
86 services83 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
57 services49 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims24 services$6.81 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.

Specialist
1100 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Specialist/Technologist (Athletic Trainer)
1100 NORTHSIDE FORSYTH DR, SUITE 440
CUMMING, GA 30041
Neurological Surgery
1100 NORTHSIDE FORSYTH DR, SUITE 310
CUMMING, GA 30041
Physician Assistant
1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041
Dentist
1100 NORTHSIDE FORSYTH DR, SUITE 420
CUMMING, GA 30041
Orthopaedic Surgery
1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041
Registered Nurse (Pediatrics)
1100 NORTHSIDE FORSYTH DR, STE 360
CUMMING, GA 30041
Physician Assistant
1100 NORTHSIDE FORSYTH DR, SUITE 240
CUMMING, GA 30041

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 Mariann Simpson's NPI number?

The NPI number for Mariann Simpson is 1245213883. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Mariann Simpson located?

Mariann Simpson practices at 1100 Northside Forsyth Dr Suite 240, Cumming, GA 30041. The listed phone number is (678) 947-6440.

What is Mariann Simpson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mariann Simpson enrolled in Medicare?

Yes. Mariann Simpson 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 Mariann Simpson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mariann Simpson 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.

Is Mariann Simpson affiliated with any hospitals?

According to CMS data, Mariann Simpson is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Mariann Simpson was last updated on October 20, 2008. 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.