Brenda Turner Mims, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

RN085970 Issued in GA

Practice address

4418 Dave Macdonald Dr
Hephzibah, GA 30815-5888

Phone

(706) 793-9530

Fax

(706) 793-9530

NPI assigned

Oct 19, 2009

Last updated

Oct 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1043546518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 DAVE MACDONALD DR",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308155888",
            "telephone_number": "706-793-9530",
            "fax_number": "706-793-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 DAVE MACDONALD DR",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308155888",
            "telephone_number": "706-793-9530",
            "fax_number": "706-793-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "BRENDA",
        "middle_name": "TURNER",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "GA",
            "license": "RN085970",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "SC",
            "license": "TL206768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevon McCoy, DPT
• Kashon Mells, LPC
• Clarissa Jo Middleton, P.H.D., M.ED.
• Elizabeth James Miles, OT
• Carolyn R Miller, OT
• Brian Joseph Mizeski, LAT, ATC
• More Care II Inc (First Imex Corp)
• Tramisha U Mullings
• Angela D Nabors
• Meredith Moore Newman, SLP

• Critical Care Medicine Registered Nurse in Hephzibah, GA
• Providers in Hephzibah, GA by specialty
• Critical Care Medicine Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.