Emily Glass Mims
Individual provider Active NPI Nurse Practitioner · Rockford, AL
NPI 1780177030 · NPPES record last updated Dec 9, 2025
Key facts
- NPI
- 1780177030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1-153476 (AL)
- Practice address
- 9518 US Highway 231
Rockford, AL 35132-5551 - Phone
- (205) 319-8000
- NPI assigned
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
5750 A Southland Dr
Mobile, AL 36693-3316
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180927000879 | AL | Practitioner - Nurse Practitioner | 3577814755 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281709 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 95022860 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| C-APN.0004565-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| APRN11022098 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| GAA-NP001082 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 4704396960 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
| 5017485 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
| 26NJ15239700 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 405313 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| APRN.CNP.0032762 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
| 10000073 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024185584 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61361054 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 13321-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Care, LLC | Current | Accepting new patients | |
| Altapointe Health Systems, Inc. | Current |
Accepting new patients | |
| American Family Care, LLC | Current |
Accepting new patients | |
| Altapointe Health Systems, Inc. | Current |
Accepting new patients | |
| American Family Care, LLC | Current |
Accepting new patients | |
| Brightside Health, Inc. | Current |
Accepting new patients |
Locations
1430 Gadsden Hwy
Ste 116917
Birmingham, AL 35235
Phone (208) 623-9050
72 Highway 304
Calera, AL 35040
Phone (205) 319-8000
3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901
2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660
9518 US Highway 231
Rockford, AL 35136
Phone (256) 377-4366
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 13321-33 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0004565-C-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0032762 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024185584 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405313 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704396960 | MI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61361054 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 281709 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10000073 | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95022860 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ15239700 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | GAA-NP001082 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5017485 | NC | |
| Nurse Practitioner | 363L00000X | 1-153476 | AL | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11022098 | FL |
Addresses
Primary practice location
9518 US Highway 231
Rockford, AL 35132-5551
Mailing address
5750A Southland Dr
Mobile, AL 36693-3316
Phone (251) 450-5916
Other providers in Rockford, AL
- Coosa County Health Dept-Rockford Pat 1St CM
- Coosa County Health Dept-Rockford Prev Health Ed
- Coosa County Health Dept-Rockford Pri Care
- Coosa County Health Dept-Rockford VFC Immun
- Full Armour Health Solutions
- Kimberly Parker
- Rockford Pharmacy
- Rockford Pharmacy
- State of Alabama
- State of Alabama Department of Public Health
All providers in Rockford, AL · Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.