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

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.

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 IDStateProvider typePAC IDDetails
I20180927000879 AL Practitioner - Nurse Practitioner 3577814755 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
281709AZMDPsychiatric/Mental Health Nurse Practitioner
95022860CAMDPsychiatric/Mental Health Nurse Practitioner
C-APN.0004565-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
APRN11022098FLMDPsychiatric/Mental Health Nurse Practitioner
GAA-NP001082GAMDPsychiatric/Mental Health Nurse Practitioner
4704396960MIMDPsychiatric/Mental Health Nurse Practitioner
5017485NCMDPsychiatric/Mental Health Nurse Practitioner
26NJ15239700NJMDPsychiatric/Mental Health Nurse Practitioner
405313NYMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0032762OHMDPsychiatric/Mental Health Nurse Practitioner
10000073ORMDPsychiatric/Mental Health Nurse Practitioner
0024185584VAMDPsychiatric/Mental Health Nurse Practitioner
AP61361054WAMDPsychiatric/Mental Health Nurse Practitioner
13321-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Current Accepting new patients
Altapointe Health Systems, Inc. Current
since Nov 9, 2019
Accepting new patients
American Family Care, LLC Current
since Jun 18, 2018
Accepting new patients
Altapointe Health Systems, Inc. Current
since Nov 9, 2019
Accepting new patients
American Family Care, LLC Current
since Jun 18, 2018
Accepting new patients
Brightside Health, Inc. Current
since Jun 1, 2025
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)CodeLicenseStatePrimary
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

All providers in Rockford, AL · Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.