Provider Demographics
NPI:1114076924
Name:SIMS, PETER MORRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:MORRIS
Last Name:SIMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 HEATHERWOOD PL
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3322
Mailing Address - Country:US
Mailing Address - Phone:205-437-3375
Mailing Address - Fax:
Practice Address - Street 1:100 CENTERVIEW DR
Practice Address - Street 2:SUITE 110
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-3747
Practice Address - Country:US
Practice Address - Phone:205-437-3375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2015-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL158942084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE55948Medicare UPIN