Jasmine Tiera Mims, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

650 S Central Ave Unit 82581
Atlanta, GA 30354-2098

Phone

(251) 533-8278

NPI assigned

Mar 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1134877996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S CENTRAL AVE UNIT 82581",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303542098",
            "telephone_number": "251-533-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S CENTRAL AVE UNIT 82581",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303542098",
            "telephone_number": "251-533-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "JASMINE",
        "middle_name": "TIERA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Gene Mims-Goodman, CRNA
• Austyn Mims
• Ayana J Mims
• Daja Mims
• Jah Von Anthony Mims
• Joseph P Mims, M.D.
• Mary Hinson Mims, DO
• Min K. Lee, M.D.P.C.
• Kevin Jay Min, M.D.
• Taejin Lance Min, M.D., PH.D.

• Occupational Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.