Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annagrace Simmons

Individual provider Physician Assistant · NPI 1275222994

Annagrace Simmons is a Physician Assistant in Atlanta, Georgia. Qualified in 2023, 3 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
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Practice location Address checks out

5555 Peachtree Dunwoody Rd Ste 101
Atlanta, GA 30342-1710
Phone: (404) 303-8665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11660 (GA)

Record details

NPI number1275222994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address1677 Bakers Mill Rd, Dacula, GA 30019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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