SHANE MICHAEL SIMS M.D.
NPI 1538344585
Obstetrics & Gynecology in Flowood, MS

Active since January 08, 2008PECOS EnrolledAccepts Medicare Assignment
1050 RIVER OAKS DR, SUITE 200, FLOWOOD, MS 39232(601) 420-0134(601) 420-0547 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shane Michael Sims M.d. NPPES

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

SHANE MICHAEL SIMS M.D. (NPI 1538344585) is an individual obstetrics & gynecology provider in Flowood, Mississippi, licensed in Mississippi (20287) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of University Of Mississippi School Of Medicine (2005).

NPPES Registry Identity

NPI1538344585
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSHANE MICHAEL SIMSCredential: M.D.
Location Address1050 RIVER OAKS DR, SUITE 200Flowood, MS 39232-9564
Mailing Address1050 River Oaks Dr, Suite 200Flowood, MS 39232-9564 · (601) 420-0134 · Fax (601) 420-0547
Fax(601) 420-0547
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2005
Enumeration DateJanuary 8, 2008
Last NPPES UpdateNovember 1, 2011
✔ NPI 1538344585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MS · 20287
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1050 RIVER OAKS DR, Flowood, MS 39232

Other Identifiers 1

Medicaid00335014MS

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

Shane Michael Sims 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 ID5890840748
PECOS Enrollment IDI20090828000626
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

3

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

Obstetrics & Gynecology
1050 RIVER OAKS DR, SUITE 200
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Womens Health Associates PLLC
  • 8 clinicians in this Medicare group
Obstetrics & Gynecology
291 E LAYFAIR DR
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 27 clinicians in this Medicare group
Obstetrics & Gynecology
1225 N STATE ST STE B1
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Obhg Mississippi PC
  • 145 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 2

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
18 services18 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39232 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 7

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

Physical Therapist
1050 RIVER OAKS DR, SUITE 110
FLOWOOD, MS 39232
Family Medicine
1050 RIVER OAKS DR, SUITE 100
FLOWOOD, MS 39232
Obstetrics & Gynecology
1050 RIVER OAKS DR, SUITE 200
FLOWOOD, MS 39232
Obstetrics & Gynecology
1050 RIVER OAKS DR, SUITE 200
FLOWOOD, MS 39232
Obstetrics & Gynecology
1050 RIVER OAKS DR, SUITE 200
FLOWOOD, MS 39232
Family Medicine
1050 RIVER OAKS DR, SUITE 100
FLOWOOD, MS 39232
Nurse Practitioner (Women's Health)
1050 RIVER OAKS DR, SUITE 200
FLOWOOD, MS 39232

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 Shane Sims's NPI number?

The NPI number for Shane Sims is 1538344585. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Where is Shane Sims located?

Shane Sims practices at 1050 River Oaks Dr Suite 200, Flowood, MS 39232. The listed phone number is (601) 420-0134.

What is Shane Sims's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shane Sims enrolled in Medicare?

Yes. Shane Sims 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 Shane Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Sims reassigns Medicare benefits to 3 organizations: Women's Health Associates, PLLC (Flowood, MS), Jackson Healthcare For Women PA (Flowood, MS) and Obhg Mississippi, P.C. (Jackson, MS). 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 Shane Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Sims accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Shane Sims 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 Shane Sims affiliated with any hospitals?

According to CMS data, Shane Sims is affiliated with St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shane Sims was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.