TIMOTHY SIMON MD NPI 1609824416

NPI Information

  • NPI: 1609824416
  • Provider Name: TIMOTHY SIMON, MD
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2801 N DECATUR RD
    SUITE 120
    DECATUR, GA
    ZIP 30033
  • Phone: (770) 277-4277

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NPI Details

Timothy Simon, MD is a colon rectal surgery in Decatur, GA with 33 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Colonoscopy (HCPCS:NAN13)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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