DR. NICOLE SPENCER SIMPSON M.D.
NPI 1891717666
Radiology - Diagnostic Radiology in Covington, GA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
88.49/100
CMS Quality Rating
5126 HOSPITAL DR NE, COVINGTON, GA 30014(770) 786-7053(678) 905-7053 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole Spencer Simpson M.d. NPPES

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

DR. NICOLE SPENCER SIMPSON M.D. (NPI 1891717666) is an individual diagnostic radiology provider in Covington, Georgia, licensed in Georgia (054948) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and maintains a secondary practice location in East Point.

NPPES Registry Identity

NPI1891717666
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. NICOLE SPENCER SIMPSONCredential: M.D.
Location Address5126 HOSPITAL DR NECovington, GA 30014
Mailing AddressPo Box 200096Cartersville, GA 30120-9002 · (770) 607-7339
Fax(678) 905-7053
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1998
Enumeration DateJuly 24, 2006
Last NPPES UpdateOctober 19, 2018
NPI 1891717666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in GA · 054948
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 054948 (GA)
5126 HOSPITAL DR NE, Covington, GA 30014

Secondary Practice Location 1

Location 11170 Cleveland AveEast Point, GA 30344-3615 · Phone (404) 466-1170

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Spencer Simpson 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 ID3870568520
PECOS Enrollment IDI20060411000054
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.

Areas of Expertise CMS Part B claims 38

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
383 services354 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
184 services177 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
127 services127 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
126 services125 patients
Mri scan of abdomen before and after contrast 74183
An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
121 services116 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
117 services114 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Piedmont Cartersville Medical Center

Acute Care Hospitals · Cartersville, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110030
Location960 Joe Frank Harris ParkwayCartersville, GA 30120 · Bartow County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30014 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.21
Improvement Activities40
Cost75.93

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%36 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Vascular & Interventional Radiology)
5126 HOSPITAL DR NE, DEPARTMENT OF RADIOLOGY
COVINGTON, GA 30014
Clinic/Center (Pain)
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Internal Medicine (Critical Care Medicine)
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Internal Medicine
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Anesthesiologist Assistant
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Nurse Anesthetist, Certified Registered
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Internal Medicine
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Anesthesiology
5126 HOSPITAL DR NE
COVINGTON, GA 30014

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 Nicole Simpson's NPI number?

The NPI number for Nicole Simpson is 1891717666. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Nicole Simpson located?

Nicole Simpson practices at 5126 Hospital Dr NE, Covington, GA 30014. The listed phone number is (770) 786-7053.

What is Nicole Simpson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nicole Simpson enrolled in Medicare?

Yes. Nicole Simpson 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.

What insurance does Nicole Simpson accept?

Health plans from Alliant Health Plans, Inc., Baylor Scott and White Health Plan, HMO Louisiana and Oscar Insurance Company list Nicole Simpson 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 Nicole Simpson affiliated with any hospitals?

According to CMS data, Nicole Simpson is affiliated with Piedmont Newton Hospital, Piedmont Cartersville Medical Center, Piedmont Rockdale Hospital, Piedmont Henry Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Nicole Simpson was last updated on October 19, 2018. 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.