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JUSTIN CODY SIMMONS CRNA
NPI 1366967085
Nurse Anesthetist, Certified Registered in Charleston, SC

Active since August 03, 2017Accepts Medicare Assignment
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414(843) 402-1436(843) 402-1833 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2023, Aug 3, 2017 (2 updates tracked since 2017).

About Justin Cody Simmons Crna NPPES

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

JUSTIN CODY SIMMONS CRNA (NPI 1366967085) is an individual nurse anesthetist, certified registered in Charleston, South Carolina, licensed in South Carolina (21344) and active in the NPI registry since August 2017. He is affiliated with Prisma Health Tuomey Hospital, maintains a secondary practice location in Orangeburg, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366967085
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJUSTIN CODY SIMMONSCredential: CRNA
Location Address2095 HENRY TECKLENBURG DRCharleston, SC 29414-5733
Mailing AddressPo Box 603484Charlotte, NC 28260-3484 · (803) 765-1838 · Fax (803) 765-1732
Phone(843) 402-1436
Fax(843) 402-1833
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 3, 2017
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1366967085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in SC · 21344
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2095 HENRY TECKLENBURG DR, Charleston, SC 29414
Open in Google Maps ↗

Secondary Practice Location 1

Location 13000 Saint Matthews RdOrangeburg, SC 29118-1442 · Phone (803) 533-2200

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

Justin Cody Simmons Crna 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 ID3375809825
PECOS Enrollment IDI20171115004007

Medicare Billing Reassignments

6

Medicare enrollment records show Justin Simmons reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bon Secours St. Francis Xavier Hosptial, Inc.
Same address
Neurology
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Bon Secours St Francis Xavier Hospital Inc
  • 375 clinicians in this Medicare group
NPI 1578929634 (843) 724-2450
Trident Anesthesia Group, LLC
12 mi
Anesthesiology
9263 MEDICAL PLAZA DR., STE E
Charleston, SC 29406
  • Reassigned Medicare billing, South Carolina enrollment
  • 154 clinicians in this Medicare group
NPI 1376595520 (843) 572-1228
Musc Community Physicians
67 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Atlantic Coast Anesthesia Services P.C.
96 mi
Anesthesiology
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Atlantic Coast Anesthesia Services PC
  • 258 clinicians in this Medicare group
NPI 1932641313 (843) 692-1000
Beach Anesthesia, LLC
97 mi
Anesthesiology
1021 MEDICAL CIRCLE, SUITE 100
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 272 clinicians in this Medicare group
NPI 1215061429 (843) 692-1062
Prisma Health University Medical Group
101 mi
Anesthesiology
1330 TAYLOR ST
Columbia, SC 29201
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1982292843 (864) 522-8615

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 5

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
19 services19 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
18 services18 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients
Anesthesia for other procedure on skin of arms, legs, and front body 00400
Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
13 services13 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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.

ROPER SAINT FRANCIS PHYSICIANS NETWORK
Internal Medicine (Pulmonary Disease)
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Charleston County (843) 789-1620
DR. WILLIAM NOLAN BAGNAL MD
Anesthesiology
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Charleston County (843) 402-1436
LYNNE NICOLE MILLER DNP, CRNA
Nurse Anesthetist, Certified Registered
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Charleston County (843) 402-1436
TOD A BROWN MD
Anesthesiology
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Charleston County (843) 402-1000
GINGER L BRISTER CRNA
Nurse Anesthetist, Certified Registered
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Charleston County (843) 876-5746
JOHN RUSSELL WIESER MD
Anesthesiology
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Charleston County (843) 402-1436
MRS. TAMMIE ANN STAHL CRNA
Nurse Anesthetist, Certified Registered
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Charleston County (843) 402-1436
DR. KELLI MARIE YOUNG D.O.
Emergency Medicine
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Charleston County (843) 402-1037

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 Justin Simmons's NPI number?

The NPI number for Justin Simmons is 1366967085. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Justin Simmons located?

Justin Simmons practices at 2095 Henry Tecklenburg Dr, Charleston, SC 29414. The listed phone number is (843) 402-1436.

What is Justin Simmons's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Justin Simmons enrolled in Medicare?

Yes. Justin 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.

Which organizations bill Medicare for Justin Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Simmons reassigns Medicare benefits to 6 organizations: Bon Secours St. Francis Xavier Hosptial, Inc. (Charleston, SC), Trident Anesthesia Group, LLC (Charleston, SC), Musc Community Physicians (Bamberg, SC), Atlantic Coast Anesthesia Services P.C. (Myrtle Beach, SC), Beach Anesthesia, LLC (Myrtle Beach, SC) and 1 more organization, listed in the Medicare section above. 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 Justin Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Justin Simmons affiliated with any hospitals?

According to CMS data, Justin Simmons is affiliated with Prisma Health Tuomey Hospital and Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Simmons was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.