Dr Anthony Sims, MD - Medicare Family Practice in Henagar, AL

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Dr Anthony Sims, MD is a medicare enrolled "Family Medicine" physician in Henagar, Alabama. He went to University Of Alabama School Of Medicine and graduated in 2001 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Dekalb Primary Care, Mat Medical Llc and his current practice location is 18324 Alabama Highway 75, Henagar, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 657-1101.

Dr Anthony Sims is licensed to practice in Alabama (license number 00024870) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992786636.

Contact Information

Dr Anthony Sims, MD
18324 Alabama Highway 75,
Henagar, AL 35978
(256) 657-1101
(256) 657-1115

Map and Direction




Physician's Profile

Full NameDr Anthony Sims
GenderMale
SpecialityFamily Practice
Experience25 Years
Location18324 Alabama Highway 75, Henagar, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Anthony Sims attended and graduated from University Of Alabama School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1992786636
  • Provider Enumeration Date: 11/09/2005
  • Last Update Date: 01/25/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3577533900
  • Enrollment ID: I20040812001118

Medical Identifiers

Medical identifiers for Dr Anthony Sims such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992786636NPI-NPPES
051522432MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 00024870 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southerncare New Beacon ScottsboroScottsboro, ALHospice
Dekalb Regional Medical CenterFort payne, ALHospital
Highlands Medical CenterScottsboro, ALHospital
University Of Alabama HospitalBirmingham, ALHospital
Marshall Medical CentersBoaz, ALHospital
Huntsville HospitalHuntsville, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dekalb Primary Care32740719158
Mat Medical Llc15577534314

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Anthony Sims allows following entities to bill medicare on his behalf.
Entity NameFort Payne Clinic Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396764395
PECOS PAC ID: 5698779304
Enrollment ID: O20060912000391
Entity NameMat Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255095261
PECOS PAC ID: 1557753431
Enrollment ID: O20220127000079
Entity NameDekalb Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528821402
PECOS PAC ID: 3274071915
Enrollment ID: O20240813003399

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Anthony Sims is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Anthony Sims, MD
P.o. Box 518,
Henagar, AL 35978

Ph: (256) 657-1101		Dr Anthony Sims, MD
18324 Alabama Highway 75,
Henagar, AL 35978

Ph: (256) 657-1101

Reviews and Comments


Family Medicine Doctors in Henagar, AL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.