Doctor profile · Federal record
Dr. Shiju Simon, AA-C
Anesthesiologist Assistant (CMS: Anesthesiology Assistant) · Anesthesiologist Assistant · Anesthesiologist Assistant · Lawrenceville, GA
- NPI 1942677919
- Accepts Medicare
- MIPS 86.9 / 100 · 2023
- 11 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1000 Medical Center Blvd
Lawrenceville, GA 300467694
(678) 312-1000 - Additional location
-
9330 State Road 54, Medical Center Trinity
Trinity, FL 346551808
(727) 848-1733 - Mailing address
-
362 Grassmeade Way
Snellville, GA 300787782
Credentials & registration
- NPI registered
- August 2015 — 11 yrs on file
- Profile last updated
- March 22, 2023
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 367H00000X — NUCC code
- State licenses (2)
- Georgia #9220 · Florida #AA287
- Medicaid
- FL #015893200
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942677919. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$131
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Becton, Dickinson and Company | 1 | $131.16 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Shiju Simon's medical specialty?
Dr. Shiju Simon practices Anesthesiologist Assistant in Lawrenceville, GA.
Where does Dr. Shiju Simon practice?
Dr. Shiju Simon practices at 1000 Medical Center Blvd, Lawrenceville, GA 300467694. Office phone: 6783121000.
What is Dr. Shiju Simon's NPI?
Dr. Shiju Simon's National Provider Identifier (NPI) is 1942677919, issued by NPPES.
Does Dr. Shiju Simon accept Medicare assignment?
Yes. Dr. Shiju Simon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.