Individual
DR. MICHAEL ANTHONY SIMMONS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-6160
Mailing address
PO BOX 13605, GREENSBORO, NC 27415-3605
(336) 547-1877
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
9500725
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
9500725
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005T
BCBS NC
NC
01
—
5108576
AETNA
NC
05
—
891005T
—
NC
01
—
D1328
MEDCOST
NC
Enumeration date
06/15/2006
Last updated
09/11/2025
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