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

Q: What is Anthony Simms's NPI number?

The NPI number for Anthony Simms is 1972815785. It was assigned to this individual provider in the NPPES registry on July 9, 2010.

Q: What is Anthony Simms's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Simms was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

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: August 16, 2026.

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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 Gerald Champion Regional 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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.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 5

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.

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.

164 services84 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.

65 services21 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.

43 services38 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.

35 services25 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

19 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320004

Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County

Emergency services Birthing friendly

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.

KAREN KRECHMERY NP

Nurse Practitioner