MEDICARE: DONNA SIMMONS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	204059	NY
2	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	104891	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811068398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA SIMMONS MD

Provider Business Mailing Address
First Line	:	1001 JOHNSON FY RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1605
Country	:	US
Telephone Number	:	678-344-1960
Fax Number	:	404-785-5846

Provider Business Practice Location Address
First Line	:	1001 JOHNSON FY RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1605
Country	:	US
Telephone Number	:	678-344-1960
Fax Number	:	404-785-5846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	04/13/2026

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