Active NPI
William Walton Mims Jr., M.D.
- Urology Physician
- Orangeburg, SC
National Provider Identifier
1922052026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 5227
- Practice address
- 1175 Cook Rd
Suite 310
Orangeburg, SC 29118-8201 - Phone
- (803) 534-4611
- Fax
- (803) 534-7269
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 5227 | SC | Primary |
Addresses
Primary practice location
1175 Cook Rd
Suite 310
Orangeburg, SC 29118-8201
Mailing address
1175 Cook Rd
Suite 310
Orangeburg, SC 29118-8201
Phone (803) 534-4611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA6252 | Medicaid | SC |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5227 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922052026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 COOK RD",
"address_2": "SUITE 310",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291188201",
"telephone_number": "803-534-4611",
"fax_number": "803-534-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 COOK RD",
"address_2": "SUITE 310",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291188201",
"telephone_number": "803-534-4611",
"fax_number": "803-534-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMS",
"first_name": "WILLIAM",
"middle_name": "WALTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "SC",
"license": "5227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA6252",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.