KIMBERLY MIMS (NPI# 1639359276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639359276 |
Entity Type | Individual |
Full Name | KIMBERLY MIMS |
Credential | MD |
Practice Address |
3030 Randolph Rd Ste 200 Charlotte NC 28211-1368 |
Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
Practice Telephone | 7043028555 |
Enumeration Date | 2007-11-12 |
Last Update Date | 2020-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
2011-01211 | NC | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
10650 Park Rd, Ste 420, Charlotte, NC 282108538 | 7043028700 | |
10650 Park Rd, Ste 420, Charlotte, NC 282108538 | 7046673960 | |
1601 Abbey Pl, Ste 200, Charlotte, NC 282093835 | 7045122980 |
Street Address |
3030 RANDOLPH RD STE 200 |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-1368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053312082 | Kevin Williams | Physician Assistant | 3030 Randolph Rd, Ste 200, Charlotte, NC 28211-1368 | 2005-08-01 |
1679946800 | Julia Warden | Dietitian, Registered | 3030 Randolph Rd, Ste 200, Charlotte, NC 28211-1368 | 2015-11-10 |
1174931034 | Brandlyn Noftsger | Nurse Practitioner | 3030 Randolph Rd, Charlotte, NC 28211-1368 | 2014-07-23 |
1528478468 | Anna Kowalczyk-kim | Pediatrics | 3030 Randolph Rd, Ste 102, Charlotte, NC 28211-1368 | 2014-04-30 |
1811335482 | Reena Mehta | Physician Assistant | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1368 | 2013-06-05 |
1780936799 | Vivien Haupt | Nurse Practitioner | 3030 Randolph Rd, Ste 102, Charlotte, NC 28211-1368 | 2012-10-15 |
1639425796 | Carolinas Physicians Network Inc | Internal Medicine | 3030 Randolph Rd, Ste 105, Charlotte, NC 28211-1368 | 2012-07-26 |
1629363619 | Adrian Hurst | Internal Medicine | 3030 Randolph Rd, Ste 200, Charlotte, NC 28211-1368 | 2011-06-17 |
1427374487 | Mecklenburg Medical Group | Internal Medicine | 3030 Randolph Rd, Ste 200, Charlotte, NC 28211-1368 | 2010-04-15 |
1851413983 | Jill Sullivan-keating | Nurse Practitioner | 3030 Randolph Rd, Ste 200, Charlotte, NC 28211-1368 | 2007-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
Find all providers in zip 28211 |
Taxonomy Code | 2084S0012X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Sleep Medicine |
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265622377 | Novant Medical Group, Inc. | Psychiatry & Neurology | 14215 Ballantyne Coporate Place, Suite 230, Charlotte, NC 28277-3874 | 2007-07-26 |
1972524361 | Jason A Peck | Psychiatry & Neurology | 8037 Corporate Center Drive, Suite 400, Charlotte, NC 28226-4550 | 2006-07-21 |
1215411723 | Novant Medical Group Inc | Psychiatry & Neurology | 330 Billingsley Rd Ste 202, Charlotte, NC 28211-5020 | 2018-09-20 |
1497232318 | Novant Medical Group Inc | Psychiatry & Neurology | 2801 Randolph Rd Ste 101, Charlotte, NC 28211-1051 | 2018-07-24 |
1225522246 | Novant Medical Group, Inc | Psychiatry & Neurology | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
1467700872 | Carolinas Medical Center | Psychiatry & Neurology | 1010 Edgehill Rd N, Suite B, Charlotte, NC 28207-1885 | 2012-08-16 |
1164792008 | Novant Medical Group Inc | Psychiatry & Neurology | 8310 University Exec Park Dr, Suite 550, Charlotte, NC 28262-3383 | 2012-01-10 |
1962657353 | Novant Medical Group, Inc. | Psychiatry & Neurology | 1900 Randolph Road, Suite 300, Charlotte, NC 28207-1106 | 2008-11-26 |
1841304748 | Douglas Kirsch | Psychiatry & Neurology | 1601 Abbey Pl, Ste 200, Charlotte, NC 28209-3835 | 2006-08-18 |
1407807092 | The Neurological Institute P.a. | Psychiatry & Neurology | 7000 Shannon Willow Rd, Charlotte, NC 28226-1318 | 2006-05-16 |
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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.