Billy Gene Mims-Goodman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN134535 Issued in GA

Practice address

5671 Peachtree Dunwoody Rd NE
Suite 680
Atlanta, GA 30342-5000

Phone

(404) 705-6985

Fax

(404) 851-9950

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Billy Mims Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Everest Anesthesia LLCGroup PAC ID 2961868559, 18 clinicians

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Everest Anesthesia LLC

  • Anesthesiology Physician
  • Fayetteville, GA
  • NPI 1568158418

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Progressive Anesthesia LLC

  • Anesthesiology Physician
  • Fayetteville, GA
  • NPI 1215225560

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northwest Georgia Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Marietta, GA
  • NPI 1265742191
  NPD
• Ahp of Central Georgia, PC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1972638047

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ahp of Georgia, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1467400481

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Eclipse Anesthesia LLC

  • Anesthesiology Physician
  • Macon, GA
  • NPI 1811174964

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Grady Memorial Hospital Corporation

  • Inpatient Hospice
  • Atlanta, GA
  • NPI 1578611638
  NPD (past)
• Grady Memorial Hospital Corporation

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1992799050
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1083673883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740209",
            "address_2": "DEPT 1029",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740209",
            "telephone_number": "941-360-1566",
            "fax_number": "941-358-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 680",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425000",
            "telephone_number": "404-705-6985",
            "fax_number": "404-851-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS-GOODMAN",
        "first_name": "BILLY",
        "middle_name": "GENE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN134535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000820432",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLY",
            "last_name": "MIMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandi Nichole Milton, NP-C
• Samuel Byron Milton III, MD
• Danielle Miltz, PA-C
• Brenda-Ruth Nissan Mimba
• Mims Care Home
• Austyn Mims
• Ayana J Mims
• Daja Mims
• Jah Von Anthony Mims
• Jasmine Tiera Mims, OTR

• Certified Registered Nurse Anesthetist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.