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FRED H SIMONTON III D.M.D.
NPI 1578674271
Oral & Maxillofacial Surgery in Gainesville, GA

Active since August 31, 2006Opted out of Medicare · through Apr 1, 2028
1221 SHERWOOD PARK DR NE STE C, GAINESVILLE, GA 30501(770) 531-1075(770) 536-2815 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fred H Simonton Iii D.m.d. NPPES

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

FRED H SIMONTON III D.M.D. (NPI 1578674271) is an individual oral & maxillofacial surgery provider in Gainesville, Georgia, licensed in Georgia (10367) and active in the NPI registry since August 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578674271
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameFRED H SIMONTON IIICredential: D.M.D.
Location Address1221 SHERWOOD PARK DR NE STE CGainesville, GA 30501-3404
Mailing Address1221 Sherwood Park Dr Ne Ste CGainesville, GA 30501-3404 · (770) 531-1075 · Fax (770) 536-2815
Phone(770) 531-1075
Fax(770) 536-2815
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 29, 2019
✔ NPI 1578674271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in GA · 10367
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 010367 (GA)
1221 SHERWOOD PARK DR NE STE C, Gainesville, GA 30501
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Other Identifiers 1

Medicaid000344462AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Fred H Simonton Iii D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2014 through April 1, 2028.

Opt-Out Effective DateApril 1, 2014
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Fred Simonton's NPI number?

The NPI number for Fred Simonton is 1578674271. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Fred Simonton located?

Fred Simonton practices at 1221 Sherwood Park Dr NE Ste C, Gainesville, GA 30501. The listed phone number is (770) 531-1075.

What is Fred Simonton's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Fred Simonton enrolled in Medicare?

No. Fred Simonton has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Fred Simonton accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list Fred Simonton 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 Fred Simonton was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.