KIMBERLY MIMS


Address: 3030 Randolph Rd, Ste 200, Charlotte, NC 28211-1368
Phone: 7043028555

KIMBERLY MIMS (NPI# 1639359276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084S0012X Psychiatry & Neurology
Specialization: Sleep Medicine
2011-01211 NC Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

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

Office Location

Street Address 3030 RANDOLPH RD
STE 200
City CHARLOTTE
State NC
Zip Code 28211-1368

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084S0012X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Sleep Medicine

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

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.

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