MRS. TANYA LYNN MIMS (NPI# 1326512732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326512732 |
| Entity Type | Individual |
| Full Name | MRS. TANYA LYNN MIMS |
| Credential | FNP-BC |
| Practice Address |
4106 Columbia Rd Ste 103 Martinez GA 30907-1482 |
| Practice Telephone | 7068631440 |
| Practice Fax Number | 7068635418 |
| Mailing Telephone | 7068631440 |
| Mailing Fax Number | 7068635418 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN154277 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4106 COLUMBIA RD STE 103 |
| City | MARTINEZ |
| State | GA |
| Zip Code | 30907-1482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435203 | Neo Women's Health | Nurse Practitioner | 3707 King Rd, Martinez, GA 30907-2352 | 2020-10-21 |
| 1780233932 | Sharon Harris | Nurse Practitioner | 1218 Center Ave, Martinez, CA 94553-4704 | 2019-09-10 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1629525969 | Jeremy Leaf | Nurse Practitioner | 4050 Oregon Trl, Martinez, GA 30907-3383 | 2016-09-03 |
| 1619318201 | George Naylor IIi | Nurse Practitioner | 463 Windtree Pl, Martinez, GA 30907-2639 | 2013-07-11 |
| 1720328487 | Karen Loraine Weiss | Nurse Practitioner | 1146 Delacy Ave, Martinez, CA 94553-2910 | 2013-02-18 |
| 1669644811 | Gisela Brunskill | Nurse Practitioner | 150 Muir Rd. ( Mail Stop 111c), Va Outpatient Clinic, Martinez, CA 94553-4668 | 2008-03-27 |
| 1205970357 | Rose Marie Donnelly | Nurse Practitioner | 1215 Castro St, Martinez, CA 94553-2325 | 2007-02-19 |
| 1477164051 | Benilda Oliquino | Nurse Practitioner | 50 Douglas Dr, Martinez, CA 94553-4098 | 2020-08-16 |
| 1437787686 | Irwin Beltran Lorico | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-31 |
| Find all providers in MARTINEZ | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.