Kimberly Charlette Taylor-Mims

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP215240 Issued in GA

Practice address

340 River Oaks Dr
Bainbridge, GA 39817-1005

Phone

(229) 220-0869

NPI assigned

Dec 12, 2025

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axis Multispecialty Group PLLCGroup PAC ID 6709373020, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Axis Multispecialty Group PLLC

  • Specialist
  • Gainesville, FL
  • NPI 1033099775
  Medicare reassignment Care Compare group
• Florida Rehab Specialists, PLLC

  • Adult Medicine Physician
  • Williston, FL
  • NPI 1447941984
  Medicare reassignment

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1740144906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 RIVER OAKS DR",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398171005",
            "telephone_number": "229-220-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 RIVER OAKS DR",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398171005",
            "telephone_number": "229-220-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-MIMS",
        "first_name": "KIMBERLY",
        "middle_name": "CHARLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP215240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laseanda K Stubbs
• Darrell Shawn Surratt, MD
• T & S Medical Services LLC
• Macy Phillips Tabb, DO
• Tallahassee Orthopedic Clinic III PL
• Alexandria Teal
• Lori Phillips Temples
• Therapy Associates of Georgia , P. C.
• Thomas M Williams OD Inc
• Marqueal Lashon Thomas

• Family Nurse Practitioner in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.