Albert D Mims, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9352 Issued in SC

Practice address

148 Sauls St
Lake City, SC 29560-2631

Phone

(843) 374-3621

Fax

(843) 374-3624

NPI assigned

Sep 16, 2006

Last updated

Nov 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

90.15 of 100Reported as group

Quality

83.18

Promoting interoperability

98

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

80.41 of 100Reported as group

Quality

64.93

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Family Care, Inc

  dba MUSC Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722
  Medicare reassignment NPD
• Medical University Hospital Authority

  • Certified Registered Nurse Anesthetist
  • Charleston, SC
  • NPI 1255305876
  Medicare reassignment NPD
• Musc Community Physicians

  dba MUSC Community Physicians Specialty

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment NPD
• Live Oak Medical Center, PA

  • Family Medicine Physician
  • Lake City, SC
  • NPI 1144455197
  Authorized official Same address or phone
• Live Oak Medical Center, PA

  • Family Medicine Physician
  • Lake City, SC
  • NPI 1659506699
  Authorized official Same address or phone
• Carolina Family Care, Inc

  dba MUSC Physicians PC

  • Internal Medicine Physician
  • Lancaster, SC
  • NPI 1275564098

  Family Medicine

  NPD
• Medical University Hospital Authority

  dba MUSC Childrens Pee Dee Pediatrics Marion Medical Park

  • Rural Health Clinic/Center
  • Mullins, SC
  • NPI 1225593924
  NPD
• Medical University Hospital Authority

  • Children's Rehabilitation Hospital
  • Charleston, SC
  • NPI 1659101277
  NPD
• Musc Community Physicians

  dba MUSC Health Primary Care - Bowman

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Lower Florence County Hospital

  dba Lake City Family Medicine

  • Rural Health Clinic/Center
  • Lake City, SC
  • NPI 1902903222
  NPD (past)
• Medical University Hospital Authority

  dba MUSC Health Primary Care Lake City

  • Rural Health Clinic/Center
  • Lake City, SC
  • NPI 1780293290

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1609972314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603898",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603898",
            "telephone_number": "843-374-3621",
            "fax_number": "843-374-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SAULS ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602631",
            "telephone_number": "843-374-3621",
            "fax_number": "843-374-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "ALBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "9352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093525",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN",
            "identifier": "P011055604",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amims251947@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "148 Sauls St",
            "city": "Lake City",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295602631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Medicine Cabinet Clinical Services LLC (The Medicine Cabinet Clinical Services)
• Medicine Cabinet of Lake City (The Medicine Cabinet)
• Medtran Express
• Mid-Carolina Hospital Group, LLC (Lake City Community Hospital)
• Eliza M Miles, LPN
• Mindful Behavioral Inc
• Maud N Mmbo-Keith, OTR/L
• Sergio Montes, PHARMACIST
• David W Moon, M.D.
• Kasey Wren Floyd Moore

• Family Medicine Physician in Lake City, SC
• Providers in Lake City, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.