SHIJU M SIMON AA-C
NPI 1942677919
Anesthesiologist Assistant in Lawrenceville, GA
About Shiju M Simon Aa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIJU M SIMON AA-C (NPI 1942677919) is an individual anesthesiologist assistant in Lawrenceville, Georgia, licensed in Georgia (9220) and active in the NPI registry since August 2015. He is affiliated with Emory Decatur Hospital, maintains a secondary practice location in Trinity, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Shiju M Simon Aa-c 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
5Medicare enrollment records show Shiju Simon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stone Mountain, GA 30087
- Reassigned Medicare billing, Georgia enrollment
- 650 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 489 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
Savannah, GA 31404
- Reassigned Medicare billing, Georgia enrollment
- 468 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory Decatur Hospital
Acute Care Hospitals · Decatur, GAMedicare 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.
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.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Shiju Simon's NPI number?
The NPI number for Shiju Simon is 1942677919. It was assigned to this individual provider in the NPPES registry on August 26, 2015.
Where is Shiju Simon located?
Shiju Simon practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-1000.
What is Shiju Simon's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Shiju Simon enrolled in Medicare?
Yes. Shiju Simon 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 Shiju Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shiju Simon reassigns Medicare benefits to 5 organizations: American Anesthesiology Associates Of Georgia, LLC (Stone Mountain, GA), North Atlanta Professional Services LLC (Atlanta, GA), Gi Anesthesia Of Georgia LLC (Gainesville, GA), Emory Specialty Associates, LLC (Lagrange, GA) and Coastal Ambulatory Anesthesia LLC (Savannah, GA). 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 Shiju Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shiju Simon accept?
Health plans from Oscar Health list Shiju Simon 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 Shiju Simon affiliated with any hospitals?
According to CMS data, Shiju Simon is affiliated with Emory Decatur Hospital.
When was this NPI record last updated?
The NPPES record for Shiju Simon was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shiju M Simon, AA-C · NPI 1942677919
Anesthesiologist Assistant physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since August 26, 2015.
## Identity
- **NPI:** 1942677919 (Entity type: Individual)
- **Enumerated:** August 26, 2015
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 9220 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046-7694
- **Phone:** (678) 312-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): American Anesthesiology Associates Of Georgia, LLC (NPI 1528068673, Stone Mountain, GA); North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA); Gi Anesthesia Of Georgia LLC (NPI 1326569187, Gainesville, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA); Coastal Ambulatory Anesthesia LLC (NPI 1750753786, Savannah, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 22, 2023
- **Other identifiers:** Medicaid 015893200 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1942677919) · Data from the CMS NPPES public registry.