Active NPI
Brittany Mimms, CRNA
- Certified Registered Nurse Anesthetist
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 25015
- Practice address
- 506 E Cheves St Ste 202
Florence, SC 29506-2616 - Phone
- (843) 777-7000
- Fax
- (843) 777-7005
- NPI assigned
- Apr 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 230794 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 25015 | SC | Primary |
Addresses
Primary practice location
506 E Cheves St Ste 202
Florence, SC 29506-2616
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Medical University of South Carolina College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1315 Roberts St
Camden, SC 29020-3737
Phone (803) 713-6376
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-7000
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
- Carolina Pines Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230794 | SC | MD | Registered Nurse |
| 25015 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Multi-Specialty | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Multi-Specialty | Current | Accepting new patients |
| Kershaw Anesthesia, LLC | Multi-Specialty | Current | Accepting new patients |
| McLeod Physician Associates II | Multi-Specialty | Current | Accepting new patients |
Locations
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
506 E Cheves St
#202
Florence, SC 29506
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
Multi-Specialty
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Multi-Specialty
-
- Urgent Care Clinic/Center
- Darlington, SC
- NPI 1386819613
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
Multi-Specialty
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartsville, SC
- NPI 1174500458
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1609457431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "843-777-7000",
"fax_number": "843-777-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 E CHEVES ST STE 202",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062616",
"telephone_number": "843-777-7000",
"fax_number": "843-777-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMMS",
"first_name": "BRITTANY",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-14",
"last_updated": "2021-06-02",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "SC",
"license": "230794",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "25015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.