Dr Kanika Michele Sims, MD - Medicare Hospitalist in Atlanta, GA

Dr Kanika Michele Sims, MD is a medicare enrolled "Hospitalist" physician in Atlanta, Georgia. She went to Medical College Of Georgia School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Morehouse Healthcare, Inc. and her current practice location is 80 Jesse Hill Jr Dr Se, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 284-6223.

Dr Kanika Michele Sims is licensed to practice in Georgia (license number 066642) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366637241.

Contact Information

Dr Kanika Michele Sims, MD
80 Jesse Hill Jr Dr Se,
Atlanta, GA 30303-3050
(706) 284-6223
Not Available

Map and Direction




Physician's Profile

Full NameDr Kanika Michele Sims
GenderFemale
SpecialityHospitalist
Experience19 Years
Location80 Jesse Hill Jr Dr Se, Atlanta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kanika Michele Sims attended and graduated from Medical College Of Georgia School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1366637241
  • Provider Enumeration Date: 09/13/2007
  • Last Update Date: 04/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941332167
  • Enrollment ID: I20111209000508

Medical Identifiers

Medical identifiers for Dr Kanika Michele Sims such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366637241NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 101377 (Florida)Secondary
208000000XPediatrics 066642 (Georgia)Secondary
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine 066642 (Georgia)Secondary
208M00000XHospitalist 066642 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grady Memorial HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Morehouse Healthcare, Inc.6002701273101

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kanika Michele Sims allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameMorehouse Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801832324
PECOS PAC ID: 6002701273
Enrollment ID: O20040217000570

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kanika Michele Sims is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kanika Michele Sims, MD
Po Box 1741,
Decatur, GA 30031-1741

Ph: (706) 284-6223
Dr Kanika Michele Sims, MD
80 Jesse Hill Jr Dr Se,
Atlanta, GA 30303-3050

Ph: (706) 284-6223

Reviews and Comments


Hospitalist Doctors in Atlanta, GA

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Matthew Jason Brown,
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Practice Location: 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303
Phone: 404-778-7777    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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