DONNA MICHELE SIMMONS MD
NPI 1811068398
Pediatrics - Pediatric Emergency Medicine in Atlanta, GA

Active since November 13, 2006PECOS Enrolled
1001 JOHNSON FY RD NE, ATLANTA, GA 30342(678) 344-1960(404) 785-5846 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2026, Apr 13, 2026 (2 updates tracked since 2026).

About Donna Michele Simmons Md NPPES

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

DONNA MICHELE SIMMONS MD (NPI 1811068398) is an individual pediatric emergency medicine provider in Atlanta, Georgia, licensed in Georgia (104891) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1811068398
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDONNA MICHELE SIMMONSCredential: MD
Location Address1001 JOHNSON FY RD NEAtlanta, GA 30342-1605
Mailing Address1001 Johnson Fy Rd NeAtlanta, GA 30342-1605 · (678) 344-1960 · Fax (404) 785-5846
Fax(404) 785-5846
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 13, 2006
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1811068398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in GA · 104891
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 204059 (NY)
1001 JOHNSON FY RD NE, Atlanta, GA 30342

Other Identifiers 1

Medicaid01922247NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna Michele Simmons Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638152341
PECOS Enrollment IDI20260513000709
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

5

Medicare enrollment records show Donna Simmons reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 clinicians in this Medicare group
General Acute Care Hospital
1 BROOKDALE PLZ STE 666
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
Emergency Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 138 clinicians in this Medicare group
Emergency Medical Services
703 MAIN ST, EMERGENCY DEPARTMENT
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 88 clinicians in this Medicare group
Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 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.

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.

Nurse Practitioner (Pediatrics, Critical Care)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Health Educator
1001 JOHNSON FY RD NE
SANDY SPRINGS, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Registered Nurse
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Pathology (Anatomic Pathology & Clinical Pathology)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342

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 Donna Simmons's NPI number?

The NPI number for Donna Simmons is 1811068398. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Donna Simmons located?

Donna Simmons practices at 1001 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (678) 344-1960.

What is Donna Simmons's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Donna Simmons enrolled in Medicare?

Yes. Donna Simmons is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Donna Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Simmons reassigns Medicare benefits to 5 organizations: Emergency Coverage, LLC (Newport, TN), Brookdale Hospital Medical Center (Brooklyn, NY), Passaic River Physicians, LLC (Paterson, NJ), St. Joseph's Emergency Physicians Inc (Paterson, NJ) and Downtown Bronx Medical Associates PC (Bronx, NY). 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 Donna Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Simmons accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Donna 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 Donna Simmons was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.