Dr. Michael Grayson Simmons , MD
Urology โข Gainesville, GA
743 Spring St Ne
Gainesville, GA 305013715
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on September 14, 2005; this date does not establish years in practice.
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Published CMS data list 1,932 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 428 service units.
- 81003 โ Automated urinalysis test: 325 service units.
- 99213 โ Established patient outpatient office visit: 209 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 21 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,960 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl โ 546 prescription fills, including refills.
- Finasteride โ 319 prescription fills, including refills.
- Myrbetriq (Mirabegron) โ 201 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 26 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Urology in Georgia (2024, 265 clinicians with data). Median for this group: 1,609. Middle half: 701 to 3,380.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,143 in 2020 to 1,932 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
743 Spring St Ne
Gainesville, GA 305013715
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Scottsboro, AL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 5 distinct group names: Floyd Physicians Llc; Mercy Health Physicians Kentucky Specialty Care Llc; Mtn Lake Urology Pc and 2 more. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Alabama School Of Medicine
1992
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
510 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $142,545 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $105,066 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
3,689 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$338,533 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $70.11 across 3 records.
By nature of payment
- Food and Beverage: $70.11 across 3 records.
Reporting-company totals
- Kerecis Limited: $42.94 across 2 records.
- ConvaTec Inc.: $27.17 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
34 years (graduated 1992)
CMS Doctors and Clinicians data list 1992 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Simmons has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Simmons as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gainesville and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Urology in Georgia (2024, 265 clinicians with data). Median for this group: 1,609. Middle half: 701 to 3,380.
Too few clinicians listed under Urology in Gainesville have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Urology in Georgia (2024, 265 clinicians with data). Median for this group: $119,394. Middle half: $55,966 to $206,102.
Too few clinicians listed under Urology in Gainesville have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Urology in Georgia (2024, 265 clinicians with data). Median for this group: $88,074. Middle half: $40,893 to $150,314.
Too few clinicians listed under Urology in Gainesville have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Urology in Georgia (2024, 290 clinicians with data). Median for this group: 1,134. Middle half: 423 to 1,880.
Too few clinicians listed under Urology in Gainesville have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Urology in Georgia (2024, 290 clinicians with data). Median for this group: $138,138. Middle half: $30,848 to $451,738.
Too few clinicians listed under Urology in Gainesville have Medicare Part D data for 2024 to compare.
15 active clinicians are listed under Urology with a practice address in Gainesville, GA (401 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Gainesville
6.7% of these 15 clinicians have the CMS telehealth indicator.
46.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 10% from 2,143 in 2020 to 1,932 in 2024.
- 2020: 2,143
- 2021: 2,416
- 2022: 2,437
- 2023: 2,244
- 2024: 1,932
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $130,922 in 2020 and $142,545 in 2024.
- 2020: $130,922
- 2021: $167,273
- 2022: $178,705
- 2023: $151,375
- 2024: $142,545
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Paid by Medicare
Paid by Medicare varied from year to year: $97,268 in 2020 and $105,066 in 2024.
- 2020: $97,268
- 2021: $126,821
- 2022: $134,298
- 2023: $112,134
- 2024: $105,066
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 24% from 1,579 in 2020 to 1,960 in 2024.
- 2020: 1,579
- 2021: 1,753
- 2022: 2,001
- 2023: 1,980
- 2024: 1,960
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30-day fills
30-day fills increased 31% from 2,809 in 2020 to 3,689 in 2024.
- 2020: 2,809
- 2021: 3,074
- 2022: 3,416
- 2023: 3,488
- 2024: 3,689
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Part D drug cost
Part D drug cost increased 103% from $166,854 in 2020 to $338,533 in 2024.
- 2020: $166,854
- 2021: $166,375
- 2022: $392,331
- 2023: $442,167
- 2024: $338,533
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $15.84 in 2021 to $70.11 in 2025.
- 2021: $15.84
- 2022: $164.35
- 2023: $289.12
- 2024: $200.60
- 2025: $70.11
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $70.11.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ConvaTec Inc. |
Food and Beverage
In-kind items and services
|
GENTLECATH GLIDE | General | $27.17 |
| Kerecis Limited |
Food and Beverage
Cash or cash equivalent
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Kerecis SurgiClose | General | $21.47 |
| Kerecis Limited |
Food and Beverage
Cash or cash equivalent
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Kerecis SurgiClose | General | $21.47 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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428 | 257 | $205.07 | $122.38 |
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81003
Automated urinalysis test
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325 | 217 | $5.01 | $2.19 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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209 | 161 | $140.67 | $87.07 |
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81001
Manual urinalysis test with examination using microscope, automated
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162 | 105 | $6.98 | $3.11 |
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36415
Insertion of needle into vein for collection of blood sample
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152 | 98 | $13.99 | $8.65 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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99 | 99 | $307.27 | $159.45 |
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96127
Assessment of emotional or behavioral problems
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83 | 71 | $10.00 | $4.05 |
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51798
Ultrasound measurement of bladder capacity after voiding
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71 | 62 | $58.11 | $10.13 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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66 | 58 | $468.42 | $221.91 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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65 | 63 | $271.09 | $127.01 |
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J9217
Leuprolide acetate (for depot suspension), 7.5 mg
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64 | 14 | $744.00 | $179.02 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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39 | 39 | $194.85 | $106.37 |
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96402
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
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32 | 14 | $88.28 | $32.64 |
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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29 | 29 | $197.17 | $81.06 |
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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22 | 17 | $101.45 | $49.33 |
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76872
Ultrasound scan of pelvic region through rectum
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18 | 16 | $483.33 | $122.05 |
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81000
Manual urinalysis test with examination using microscope, non-automated
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16 | 11 | $7.00 | $3.94 |
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55700
Biopsy of prostate gland
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15 | 13 | $463.93 | $226.97 |
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52332
Insertion of stent in ureter using an endoscope
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14 | 12 | $672.71 | $127.34 |
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74420
Imaging of urinary tract following injection of a contrast agent
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12 | 11 | $65.83 | $23.99 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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11 | 11 | $278.00 | $170.39 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 546 | 38,966 | $8,680.82 | 174 |
| Finasteride | Finasteride | 319 | 22,133 | $4,213.79 | 90 |
| Myrbetriq | Mirabegron | 201 | 7,386 | $109,920.40 | 48 |
| Methenamine Hippurate | Methenamine Hippurate | 131 | 6,462 | $7,454.56 | 33 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 90 | 471 | $151.87 | 80 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 85 | 464 | $305.68 | 73 |
| Bicalutamide | Bicalutamide | 80 | 2,844 | $1,565.67 | 29 |
| Potassium Citrate Er | Potassium Citrate | 69 | 4,050 | $6,071.76 | 16 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 57 | 169 | $119.12 | 48 |
| Estradiol | Estradiol | 44 | 4,476 | $3,192.03 | 25 |
| Doxazosin Mesylate | Doxazosin Mesylate | 40 | 2,190 | $652.30 | โ |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 40 | 1,684 | $726.76 | โ |
| Elmiron | Pentosan Polysulfate Sodium | 36 | 1,080 | $24,564.89 | โ |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 31 | 362 | $588.73 | 28 |
| Premarin | Estrogens, Conjugated | 31 | 2,658 | $14,019.55 | 24 |
| Ondansetron Hcl | Ondansetron Hcl | 26 | 116 | $64.15 | 21 |
| Allopurinol | Allopurinol | 20 | 1,572 | $288.53 | โ |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 15 | 74 | $89.89 | 13 |
| Dutasteride | Dutasteride | 15 | 1,350 | $618.39 | โ |
| Fluconazole | Fluconazole | 14 | 82 | $132.77 | 11 |
| Sucralfate | Sucralfate | 14 | 140 | $2,309.39 | โ |
| Amitriptyline Hcl | Amitriptyline Hcl | 12 | 373 | $52.31 | โ |
| Megestrol Acetate | Megestrol Acetate | 11 | 328 | $165.74 | โ |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 11 | 990 | $389.95 | โ |
| Erleada | Apalutamide | 11 | 330 | $151,896.49 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-01-13NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20240708002147
GA
5294799714
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Mercy Health Physicians Kentucky Specialty Care Llc
1532 Lone Oak Rd, Paducah, KY 420037940
Phone: 2705386700
Floyd Physicians Llc
304 Turner Mccall Blvd Sw, Rome, GA 301655621
Phone: 7065095000
Piedmont Providers Llc
775 Poplar Rd, Newnan, GA 302658300
Phone: 6784237860
Mtn Lake Urology Pc
750 Byron Rd, Scottsboro, AL 357694051
Phone: 2562598765
Northeast Georgia Physicians Group Inc
743 Spring Nest, Gainesville, GA 305013715
Phone: 7702196000
Secondary Practice Locations
750 Byron Rd
Scottsboro, AL 357694051
Phone: 2562598765
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Student in an Organized Health Care Education/Training Program
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Critical Care Medicine
Advanced Registered Nurse Practitioner, ACNPBC
Nurse Practitioner - Adult Health
ANPBC
Anesthesiologist Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 743 SPRING ST NE, GAINESVILLE, GA 305013715 (Tel: 7702198430)
Urology (license number reported to NPPES: GA 93682)
NPI status registered as active in NPPES database
Registered at 750 BYRON RD, SCOTTSBORO, AL 357694051 (Tel: 2562598765)
Registered at 750 BYRON RD, SCOTTSBORO, AL 357694051 (Tel: 2562598765)
Recorded as MICHAEL SIMMONS, MD
Urology (license number reported to NPPES: AL 17993)
NPI status registered as active in NPPES database
Registered at 304 PARKS AVE, SCOTTSBORO, AL 357682412 (Tel: 2562598765)
Registered at 304 PARKS AVE, SCOTTSBORO, AL 357682412 (Tel: 2562598765)
Recorded as MICHAEL SIMMONS, MD
Urology (license number reported to NPPES: AL 17993)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Gainesville
- Dr. Brent Sharpe, MD
- Dr. Timothy Brock, MD
- Dr. Nicholas Eyrich, MD, MS
- Dr. Davis Kim, MD
- Dr. Quinton Cancel, MD
- Dr. John Mchugh, MD
Mailing Address
750 Byron Rd
Scottsboro, AL 357694051
Phone: 2562598765