Michael Grayson Simmons, MD - Medicare Urology in Gainesville, GA

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Michael Grayson Simmons, MD is a medicare enrolled "Urology" physician in Gainesville, Georgia. He went to University Of Alabama School Of Medicine and graduated in 1992 and has 34 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mercy Health Physicians Kentucky Specialty Care Llc, Floyd Physicians Llc, Northeast Georgia Physicians Group Inc, Mtn Lake Urology Pc, Piedmont Providers Llc and his current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 219-8430.

Michael Grayson Simmons is licensed to practice in Georgia (license number 93682) 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 1225023344.

Contact Information

Michael Grayson Simmons, MD
743 Spring St Ne,
Gainesville, GA 30501-3715
(770) 219-8430
Not Available

Map and Direction




Physician's Profile

Full NameMichael Grayson Simmons
GenderMale
SpecialityUrology
Experience34 Years
Location743 Spring St Ne, Gainesville, Georgia
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:
  • Michael Grayson Simmons attended and graduated from University Of Alabama School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1225023344
  • Provider Enumeration Date: 09/14/2005
  • Last Update Date: 01/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5294799714
  • Enrollment ID: I20240619001542

Medical Identifiers

Medical identifiers for Michael Grayson Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225023344NPI-NPPES
256068200MedicaidFL
00820619CMedicaidGA
106277MedicaidAL
106278MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 93682 (Georgia)Primary
208800000XUrology 17993 (Alabama)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Highlands Medical CenterScottsboro, ALHospital
Piedmont Newnan Hospital, IncNewnan, GAHospital
Northeast Georgia Medical Center, IncGainesville, GAHospital
Floyd Medical CenterRome, GAHospital
Lourdes HospitalPaducah, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health Physicians Kentucky Specialty Care Llc1456777069146
Floyd Physicians Llc640685237563
Northeast Georgia Physicians Group Inc6901898386899
Mtn Lake Urology Pc73150074322
Piedmont Providers Llc9830082825513

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. Michael Grayson Simmons allows following entities to bill medicare on his behalf.
Entity NameOwensboro Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235518242
PECOS PAC ID: 0648255034
Enrollment ID: O20040621000818
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922401611
PECOS PAC ID: 5597867184
Enrollment ID: O20150219000942
Entity NameMercy Health Physicians Kentucky Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700408093
PECOS PAC ID: 1456777069
Enrollment ID: O20200813001096

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. Michael Grayson Simmons 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
Michael Grayson Simmons, MD
750 Byron Rd,
Scottsboro, AL 35769-4051

Ph: (256) 259-8765		Michael Grayson Simmons, MD
743 Spring St Ne,
Gainesville, GA 30501-3715

Ph: (770) 219-8430

Reviews and Comments


Urology Doctors in Gainesville, GA

Mr. William Bird Jones, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 660-a Lanier Park Drive, Gainesville, GA 30501
Phone: 770-535-0000    Fax: 770-532-3911
Dr. Ryan Noelle Fogg, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Jesse Jewell Pkwy Se, Ste 200, Gainesville, GA 30501
Phone: 770-532-8438    Fax: 770-535-1785
Dr. Quinton Victor Cancel, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-219-8420    
Mr. Ronald Leroy Brock, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 660 Lanier Park Drive, Ste A, Gainesville, GA 30501
Phone: 770-535-0000    Fax: 770-532-3911
Mr. John Clay Mchugh, M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 660-a Lanier Park Drive, Gainesville, GA 30501
Phone: 770-535-0000    Fax: 770-532-3911
Dr. David S Woo, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Jesse Jewell Pkwy, Suite 200, Gainesville, GA 30501
Phone: 770-532-8438    Fax: 770-535-1785

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.