DR. ANTHONY SIMMS II M.D.
NPI 1972815785
Pathology - Anatomic Pathology & Clinical Pathology in Riverdale, GA

Active since July 09, 2010PECOS EnrolledAccepts Medicare Assignment
11 UPPER RIVERDALE RD SW, PATHOLOGY DEPT, RIVERDALE, GA 30274(678) 423-1550 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Anthony Simms Ii M.d. NPPES

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

DR. ANTHONY SIMMS II M.D. (NPI 1972815785) is an individual anatomic pathology & clinical pathology provider in Riverdale, Georgia, licensed in Georgia (71636) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Dallas Medical Center, and is a graduate of Meharry Medical College School Of Medicine (2009).

NPPES Registry Identity

NPI1972815785
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. ANTHONY SIMMS IICredential: M.D.
Location Address11 UPPER RIVERDALE RD SW, PATHOLOGY DEPTRiverdale, GA 30274-2615
Mailing Address11 Upper Riverdale Rd Sw, Pathology DeptRiverdale, GA 30274-2615 · (678) 423-1550
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2009
Enumeration DateJuly 9, 2010
Last NPPES UpdateJuly 23, 2015
NPI 1972815785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in GA · 71636
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

11 UPPER RIVERDALE RD SW, Riverdale, GA 30274

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. Anthony Simms Ii 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 ID7012226731
PECOS Enrollment IDI20190313000153
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
729 services369 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
137 services120 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
77 services22 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
55 services51 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
43 services40 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
42 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Dallas Medical Center

Acute Care Hospitals · Dallas, TX
OwnershipProprietary
CMS Certification Number450379
Location7 Medical ParkwayDallas, TX 75234 · Dallas County
Emergency services

North Central Surgical Center LLP

Acute Care Hospitals · Dallas, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670049
Location9301 North Central Expressway Suite 100Dallas, TX 75231 · Dallas County
Emergency services

Baylor Scott And White Medical Center Sunnyvale

Acute Care Hospitals · Sunnyvale, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number670060
Location231 South Collins RoadSunnyvale, TX 75182 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 20

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

Radiology (Diagnostic Radiology)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Pathology (Anatomic Pathology & Clinical Pathology)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Pathology (Anatomic Pathology & Clinical Pathology)
11 UPPER RIVERDALE RD SW, PATH DEPT
RIVERDALE, GA 30274
Specialist
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Pediatrics (Neonatal-Perinatal Medicine)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Emergency Medicine (Emergency Medical Services)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Nurse Practitioner
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Emergency Medicine (Emergency Medical Services)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972815785, enumerated as an "individual" on July 09, 2010.

The provider is located at 11 UPPER RIVERDALE RD SW PATHOLOGY DEPT RIVERDALE, GA 30274 and the phone number is (678) 423-1550.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to verify.

Anthony Simms is affiliated with: DALLAS MEDICAL CENTER, NORTH CENTRAL SURGICAL CENTER LLP and BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE.