CARNETHA MATHEWS SIMMONS MD
NPI 1497886238
Psychiatry & Neurology - Psychiatry in Silver Spring, MD
About Carnetha Mathews Simmons Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARNETHA MATHEWS SIMMONS MD (NPI 1497886238) is an individual psychiatry provider in Silver Spring, Maryland, licensed in North Carolina (2011-01756) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses 2
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
Carnetha Mathews Simmons Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Carnetha Simmons reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 128 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, North Carolina enrollment
- 17 clinicians in this Medicare group
Salisbury, NC 28147
- Reassigned Medicare billing, North Carolina enrollment
- 1,534 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SILVER SPRING, MD 20910
SILVER SPRING, MD 20910
SILVER SPRING, MD 20910
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 Carnetha Simmons's NPI number?
The NPI number for Carnetha Simmons is 1497886238. It was assigned to this individual provider in the NPPES registry on March 7, 2007.
Where is Carnetha Simmons located?
Carnetha Simmons practices at 8040 Georgia Ave Ste 170, Silver Spring, MD 20910. The listed phone number is (202) 360-4787.
What is Carnetha Simmons's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Carnetha Simmons enrolled in Medicare?
Yes. Carnetha 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 Carnetha Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carnetha Simmons reassigns Medicare benefits to 4 organizations: Axis Healthcare Group (Silver Spring, MD), Mcs, PC (Silver Spring, MD), The Charlotte-Mecklenburg Hospital Authority (Salisbury, NC) and Carolinas Medical Center (Concord, NC). 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 Carnetha Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carnetha Simmons accept?
Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, Cigna Healthcare, InStil Health and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Carnetha 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 Carnetha Simmons was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Carnetha Mathews Simmons, MD · NPI 1497886238
Psychiatry physician in Silver Spring, Maryland. Individual provider, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1497886238 (Entity type: Individual)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 2011-01756 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 8040 GEORGIA AVE STE 170, Silver Spring, MD 20910-4959
- **Phone:** (202) 360-4787
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Axis Healthcare Group (NPI 1326295098, Silver Spring, MD); Mcs, PC (NPI 1538717723, Silver Spring, MD); The Charlotte-Mecklenburg Hospital Authority (NPI 1043719610, Salisbury, NC); Carolinas Medical Center (NPI 1467790055, Concord, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2004
## Record status
- **NPPES last updated:** November 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497886238) · Data from the CMS NPPES public registry.