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TIMOTHY SIMON MD NPI 1609824416


NPI Information

NPI: 1609824416
Provider Name: TIMOTHY SIMON, MD
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual
Organization: NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC

PECOS Registration: Yes

Address:
2801 N DECATUR RD
SUITE 120
DECATUR, GA
ZIP 30033
Phone: (770) 277-4277
Get Directions

Timothy Simon, MD is a colon rectal surgery in Decatur, GA with 31 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. Timothy Simon, MD NPI is 1609824416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

2801 N DECATUR RD
SUITE 120
DECATUR, GA
ZIP 30033-949
Phone: (770) 277-4277
Fax: (404) 292-6305

The NPI 1609824416 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 2/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal Surgery040846GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152439381OTHERBCBS
24608346001OTHERCIGNA HMO
300947086AMEDICAIDGEORGIA
42969776OTHERAETNA HMO
510556OTHERKAISER
61700465OTHERUNITED HEALTHCARE
77375431OTHERAETNA NON HMO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.