DR. KANIKA MICHELE SIMS (M.D.) – Hospitalist Physician, NPI 1366637241
Hospitalist Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,281 HOSPITALIST in GA
Provider Addresses for DR. KANIKA MICHELE SIMS (M.D.)
80 JESSE HILL JR DR SE
ATLANTA, GA 303033050
Phone: (706) 284-6223
Type: Location
Eastside Medical Center, 1700, Medical Way, Snellville, Gwinnett County, Georgia, 30078, United States
SNELLVILLE, GA 300782195
Phone: (706) 284-6223
Type: Mailing
677 CHURCH ST NE # 111
MARIETTA, GA 300601101
Phone: (770) 793-7750
Fax: (770) 793-7755
Type: Mailing
PO BOX 1741
DECATUR, GA 300311741
Phone: (706) 284-6223
Fax: (770) 793-7755
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Boston Scientific Corporation ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
1
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111209000508 | I | Hospitalist | GA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 224 | 34 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 13 | 12 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Infectious Disease, Internal Medicine | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| N E U R O L O G Y | CT | |
| P S Y C H I A T R Y | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | GA |
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