Individual provider Active NPI

Kimberly Nicole Mims, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Huntsville, AL
National Provider Identifier
1639359276
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
2011-01211 Issued in NC
Practice address
615 Clinton Ave W # 252
Huntsville, AL 35801-5532
Phone
(704) 749-0907
Fax
(919) 869-1759
NPI assigned
Nov 12, 2007
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2011-01211 NC
Clinical Neurophysiology Physician 2084N0600X 2011-01211 NC
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 2011-01211 NC Primary

Addresses

Primary practice location

615 Clinton Ave W # 252
Huntsville, AL 35801-5532

Mailing address

PO Box 252
Huntsville, AL 35804-0252
Phone (704) 749-0907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20131106001371 NC Practitioner - Sleep MedicinePractitioner - NeurologyPractitioner - Neuropsychiatry 7214162841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Neurology
Education
University of Alabama School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

1601 Abbey PL
Suite 200
Charlotte, NC 28209-7600
Phone (704) 512-2980

3030 Randolph Rd
Charlotte, NC 28211-1365

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 283-3100

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-01211NCMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Aug 17, 2013 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network, Inc. Sleep Medicine CurrentSince Aug 17, 2013 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

1001 Blythe Blvd
Ste 500
Charlotte, NC 28203
Phone (704) 355-5100

10650 Park Rd
Ste 330
Charlotte, NC 28210
Phone (704) 468-8877

10650 Park Rd
Ste 420
Charlotte, NC 28210
Phone (704) 302-8700

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

1601 Abbey Pl
Ste 200
Charlotte, NC 28209
Phone (704) 510-9900

3030 Randolph Rd
Ste 200
Charlotte, NC 28211
Phone (704) 302-8200

10545 Blair Rd
Ste 200
Mint Hill, NC 28227
Phone (704) 863-9500

1550 Faulk St
Ste 1500
Monroe, NC 28112
Phone (704) 302-9700

Interoperability endpoints

  • Direct secure messaging: kmims137005@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1639359276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358040252",
            "telephone_number": "704-749-0907",
            "fax_number": "919-869-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CLINTON AVE W # 252",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015532",
            "telephone_number": "704-749-0907",
            "fax_number": "919-869-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2011-01211",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NC",
            "license": "2011-01211",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NC",
            "license": "2011-01211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.