DR. MATTHEW T SIMMONS (NPI# 1952620429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952620429 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW T SIMMONS |
| Credential | MD |
| Practice Address |
684 Sixes Rd Suite 130 Holly Springs GA 30115 |
| Mailing Address |
684 Sixes Rd. Suite 130 Holly Springs GA 30115 |
| Practice Telephone | 7705176636 |
| Practice Fax Number | 7705176568 |
| Mailing Telephone | 7705176636 |
| Mailing Fax Number | 7705176568 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2016-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
072688 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003151859B | 05 | |
| GA | 003151859D | 05 | |
| GA | 003151859A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740763192 | Matthew James Simmons | Physical Therapist | 490 W Lincoln Trail Blvd, Radcliff, KY 40160-2047 | 2018-09-12 |
| 1235543299 | Matthew Simmons | Dentist | 24449 Katy Fwy # 300, Katy, TX 77494-1376 | 2014-06-18 |
| 1437494770 | Matthew Simmons | Occupational Therapy Assistant | 5020 Walton Ave, Titusville, FL 32780-6826 | 2012-11-27 |
| 1043509383 | Matthew Joel Simmons | Social Worker | 502 S Melville Ave, Tampa, FL 33606-2012 | 2011-04-06 |
| 1164683132 | Matthew Reeves Simmons | Pathology | 6238 Sw 85th St, Gainesville, FL 32608-8512 | 2008-06-22 |
| 1487826244 | Matthew Neil Simmons | Urology | Cleveland Clinic - Glickman Urological Institute, 9500 Euclid Ave A100, Cleveland, OH 44195-0001 | 2008-04-01 |
| 1942272778 | Matthew E Simmons | Psychiatry & Neurology | 2929 5th Street, 240, Rapid City, SD 57701 | 2006-02-06 |
| 1003473992 | Matthew Simmons | Counselor | 2400 White Ave, Nashville, TN 37204-2235 | 2019-05-25 |
| 1811407851 | Matthew Simmons | Nurse Practitioner | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2017-10-04 |
| 1568871259 | Matthew David Simmons | Social Worker | 10350 E Dakota Ave, Ste B, Denver, CO 80247-1314 | 2014-08-06 |
| Street Address |
684 SIXES RD SUITE 130 |
| City | HOLLY SPRINGS |
| State | GA |
| Zip Code | 30115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427021070 | Michael W Shotwell | Surgery | 684 Sixes Rd, Suite 225, Holly Springs, GA 30115-8721 | 2006-02-13 |
| 1831476316 | Olde Time Pharmacy At Sixes, LLC | Clinic/Center | 684 Sixes Rd, Suite 105, Holly Springs, GA 30115-8721 | 2011-11-10 |
| 1255652632 | Jimmy J Jiang | Orthopaedic Surgery | 684 Sixes Rd, Suite 130, Holly Springs, GA 30115-8721 | 2010-06-19 |
| 1811216153 | Kasier Permanente | Clinical Medical Laboratory | 684 Sixes Rd, Suite 275, Holly Springs, GA 30115-8721 | 2010-05-26 |
| 1912174889 | Stephen Allen Rodes | Orthopaedic Surgery | 684 Sixes Rd, Suite 130, Holly Springs, GA 30115-8721 | 2008-05-10 |
| 1649456609 | Jamie Hayes Rollins | Pediatrics | 684 Sixes Rd, Ste 220, Holly Springs, GA 30115-8721 | 2008-01-21 |
| 1902012206 | Jason Robert Hefner | Internal Medicine | 684 Sixes Rd, Suite 125, Holly Springs, GA 30115-8721 | 2007-05-15 |
| 1104866334 | Anuj Kumar Dua | Surgery | 684 Sixes Rd, Suite 225, Holly Springs, GA 30115-8721 | 2006-06-07 |
| 1134168883 | Meridian Surgical, PC | Surgery | 684 Sixes Rd, Suite 225, Holly Springs, GA 30115-8721 | 2006-06-06 |
| 1205875010 | Nancy R Doelling | Pediatrics | 684 Sixes Rd, Ste 220, Holly Springs, GA 30115-8721 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417948597 | Duane Richard Hennion | Family Medicine | 401 Irving Pkwy Ste 320, Holly Springs, NC 27540-5302 | 2005-10-28 |
| 1861741233 | Private Diagnostic Clinic, Pllc | Family Medicine | 190 Rosewood Centre Dr, Ste. 100, Holly Springs, NC 27540-7628 | 2012-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306108279 | Casey Wagner | Family Medicine | 7813 Spivey Station Blvd Ste 220, Jonesboro, GA 30236 | 2012-06-15 |
| 1831422682 | Koji Nishimura | Family Medicine | Commander, Usameddac and Martin Army Community Hospital, 7950 Martin Loop, Fort Benning, GA 31905 | 2009-09-11 |
| 1073787305 | Mark James Sakr | Family Medicine | 3400 Old Milton Pkwy Ste C190, Alpharetta, GA 30005-4481 | 2008-04-17 |
| 1104009059 | Northeast Georgia Physicians Group, Inc. | Family Medicine | 115 Towne Center Pkwy, Suite 113, Hoschton, GA 30548-2213 | 2007-12-14 |
| 1366549073 | Michael Joseph Huey | Family Medicine | Emory University Student Health Services, 1525 Clifton Road, Atlanta, GA 30322-0001 | 2006-09-17 |
| 1942234281 | Charles Edward Garten II | Family Medicine | 3200 Downwood Cir Nw Ste 340, Atlanta, GA 30327-1605 | 2006-07-11 |
| 1477597979 | John M. Henderson Sr. | Family Medicine | 1900 10th Ave Suite 320, Columbus, GA 31901 | 2006-06-15 |
| 1609843481 | Tracy R Ray | Family Medicine | 1305 Jennings Mill Rd Ste 110, Watkinsville, GA 30677-7241 | 2006-03-01 |
| 1982679684 | John Michael Buchanan | Family Medicine | 3575 Braselton Hwy, Dacula, GA 30019-1155 | 2006-02-17 |
| 1770562852 | Neeru Jayanthi | Family Medicine | 6335 Hospital Pkwy Ste 302, Emory Orthopaedics, Sports, Spine, Johns Creek, GA 30097-5712 | 2006-01-17 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY SPRINGS |
| Zip Code | 30115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.