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DR. SIMON MATT WILLIS M.D.
NPI 1356761191
Physical Medicine & Rehabilitation - Pain Medicine in Pooler, GA

Active since April 20, 2014PECOS EnrolledAccepts Medicare Assignment
114 CANAL ST STE 503, POOLER, GA 31322(912) 450-6300(912) 450-6303 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2020, Sep 25, 2018 (2 updates tracked since 2018).

About Dr. Simon Matt Willis M.d. NPPES

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

DR. SIMON MATT WILLIS M.D. (NPI 1356761191) is an individual pain medicine provider in Pooler, Georgia, licensed in Georgia (84680) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1356761191
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. SIMON MATT WILLISCredential: M.D.
Location Address114 CANAL ST STE 503Pooler, GA 31322-4261
Mailing Address114 Canal St Ste 503Pooler, GA 31322-4261 · (912) 450-6300 · Fax (912) 450-6303
Phone(912) 450-6300
Fax(912) 450-6303
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 20, 2014
Last NPPES UpdateApril 16, 20202 updates tracked since enumeration
NPPES CertifiedApril 16, 2020
✔ NPI 1356761191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses✔ Licensed in GA · 84680✔ Licensed in SC · 83377
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
114 CANAL ST STE 503, Pooler, GA 31322
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Secondary Practice Locations 2

Location 125 Sherington Dr Ste DBluffton, SC 29910-6031 · Phone (843) 310-1055 · Fax (843) 310-1056
Location 2514 S Main St Ste CHinesville, GA 31313-4356 · Phone (912) 450-6300 · Fax (912) 450-6303

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Dr. Simon Matt Willis M.d. 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 ID3476805060
PECOS Enrollment IDI20190806001655
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Simon Willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

National Health Rehabilitation LLC
721 mi
Physical Medicine & Rehabilitation
103 RIVER RD, STE 101
Edgewater, NJ 07020
  • Reassigned Medicare billing, South Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1780080218 (201) 308-8995
Intermountain Medical Group Grand Junction, LLC
1,510 mi
Neurological Surgery
711 N TAYLOR ST
Gunnison, CO 81230
  • Reassigned Medicare billing, Colorado enrollment
  • 438 clinicians in this Medicare group
NPI 1710591508 (970) 642-4803

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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
322 services38 patients
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.
132 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
94 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services22 patients

Referred Medical Equipment & Supplies CMS DME claims 14

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers26 claims26 services$51.29 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers20 claims20 services$59.94 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier42 claims42 services$10.05 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers48 claims48 services$59.90 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$48.65 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers29 claims29 services$16.93 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 4

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

SPECTRUM MEDICAL SOLUTIONS, LLC
Pain Medicine (Interventional Pain Medicine)
114 CANAL ST STE 503
POOLER, GA 31322
Chatham County (912) 450-6300
MADELEINE DURANT WOODROOF FNP-C
Nurse Practitioner (Family)
114 CANAL ST STE 503
POOLER, GA 31322
Chatham County (912) 450-6300
MELINDA MATHERLY LAVECCHIA PA
Physician Assistant
114 CANAL ST STE 503
POOLER, GA 31322
Chatham County (912) 450-6300
MS. KRISTEL JANINE SCHRILS FNP-C
Nurse Practitioner (Family)
114 CANAL ST STE 503
POOLER, GA 31322
Chatham County (912) 450-6300

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 Simon Willis's NPI number?

The NPI number for Simon Willis is 1356761191. It was assigned to this individual provider in the NPPES registry on April 20, 2014.

Where is Simon Willis located?

Simon Willis practices at 114 Canal St Ste 503, Pooler, GA 31322. The listed phone number is (912) 450-6300.

What is Simon Willis's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Simon Willis enrolled in Medicare?

Yes. Simon Willis 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 Simon Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon Willis reassigns Medicare benefits to 2 organizations: National Health Rehabilitation LLC (Edgewater, NJ) and Intermountain Medical Group Grand Junction, LLC (Gunnison, CO). 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 Simon Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simon Willis accept?

Health plans from Select Health list Simon Willis 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 Simon Willis was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.