NPIMap

Individual provider Active NPI

Carolyn Olive Mims, CRNA

  • Certified Registered Nurse Anesthetist
  • St. George, SC
National Provider Identifier
1700834769
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
21281 Issued in SC
Practice address
204 Charles St.
St. George, SC 29477
Phone
(843) 563-3247
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 21281 SC Primary

Addresses

Primary practice location

204 Charles St.
St. George, SC 29477

Mailing address

204 Charles St
Saint George, SC 29477-2024
Phone (843) 563-3247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
21281SCMDUrology Physician
1109SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Providence Hospitals Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Golden Rule Medical Services, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
American Anesthesiology of South Carolina, LLC Past Accepting new patients
Colleton Medical Hospitalists LLC Past Accepting new patients
Carolina Anesthesiology Associates PA Past Accepting new patients
Anesthesia Associates of Savannah ,PA Past Accepting new patients
Colleton Medical Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Under Anesthesia Past Accepting new patients
Pain Management, LLC Past Accepting new patients
Carolina Anesthesiology Associates PA Past Accepting new patients

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1700834769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CHARLES ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772024",
            "telephone_number": "843-563-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CHARLES ST.",
            "city": "ST. GEORGE",
            "state": "SC",
            "postal_code": "29477",
            "telephone_number": "843-563-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "CAROLYN",
        "middle_name": "OLIVE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "21281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. George, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.