NPI age
10 years
Enumerated 2015-08-26
● Active
Type 1 · Individual
Shiju M Simon, AA-C
Simon is 1 of 63 anesthesiologist assistant providers in Lawrenceville and 1 of 1530 in Georgia.
Primary specialty
Anesthesiologist Assistant
Plus 2 subspecialties
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1530 active anesthesiologist assistant providers in Georgia.
NPI age
10 years
↓ 2 yr below median (12 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-08Enumerated in NPPES
2015
2026
Where they practice
Practice location
1000 Medical Center Blvd
Lawrenceville, GA 300467694
Mailing address
362 Grassmeade Way
Snellville, GA 300787782
Additional practice locations
1 secondary location on file with NPPES.
Location 2
9330 State Road 54, Medical Center Trinity
Trinity, FL 346551808
Specialties
-
Anesthesiologist Assistant PrimaryAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 015893200 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 495 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new anesthesiologist assistant providers have been added in Lawrenceville in the last 180 days.
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