| Dr Edmund Lloyd Simon, MD | |
|
1100 Northside Forsyth Dr, Ste 140, Cumming, GA 30041-6012 | |
| (770) 292-7000 | |
| (770) 292-7002 |
| Full Name | Dr Edmund Lloyd Simon |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 23 Years |
| Location | 1100 Northside Forsyth Dr, Cumming, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730366865 | NPI | - | NPPES |
| 468024628M | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 54670 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Professional Services Llc | 0840291944 | 374 |
| Entity Name | North Atlanta Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edmund Lloyd Simon, MD 1100 Northside Forsyth Dr, Ste 140, Cumming, GA 30041-6012 Ph: (770) 292-7000 | Dr Edmund Lloyd Simon, MD 1100 Northside Forsyth Dr, Ste 140, Cumming, GA 30041-6012 Ph: (770) 292-7000 |
Dr. Shelley Machuta Fernandes, MD Radiology Medicare: Medicare Enrolled Practice Location: 1100 Northside Forsyth Dr, Ste 140, Cumming, GA 30041 Phone: 770-292-7000 Fax: 770-292-7002 | |
Dr. Stephen Hale Falwell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3161 Neal Ct, Cumming, GA 30041 Phone: 770-406-8476 |