Active NPI
Florence Mimy, M.D.
- Internal Medicine Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2011-00151
- Practice address
- 417 W 3Rd Ave
Albany, GA 31701-1943 - Phone
- (229) 312-5222
- NPI assigned
- Dec 8, 2006
- Last updated
- Jul 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2011-00151 | NC | Primary |
| Internal Medicine Physician | 207R00000X | 054419 | GA |
Addresses
Primary practice location
417 W 3Rd Ave
Albany, GA 31701-1943
Mailing address
704 Mandalay Pkwy
McDonough, GA 30253-6109
Phone (404) 326-2836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, HI, NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2901
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5775
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-00151 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians of SC, LLC | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| The Queen's Medical Center | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Internal Medicine | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Redmond Hospital Services LLC | Past | Accepting new patients | |
| John J Cogan MD Inc | Past | Accepting new patients | |
| Emergency Coverage, LLC | Family Medicine | Past | Accepting new patients |
| Cogent Healthcare of Georgia PC | Family Medicine | Past | Accepting new patients |
| Ecc Hospitalist Services PC | Internal Medicine | Past | Accepting new patients |
Locations
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
955 Ribaut Rd
#C
Beaufort, SC 29902
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
Interoperability endpoints
- florence.mimy@vista.gadirect.net
- fmimy47651@direct.emory.org
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Charleston, SC
- NPI 1144877655
-
dba Beaufort Memorial Emergency Medicine Physicians
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
dba Oncology Services
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- General Practice Physician
- Beaufort, SC
- NPI 1336180165
-
dba Valley Medical Associates
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1588668396
-
dba Cape Fear Valley Professional Radiology Group
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
dba Queen's Island Urgent Care
- Urgent Care Clinic/Center
- Ewa Beach, HI
- NPI 1417580275
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
dba Mount Pleasant Hospital
- General Acute Care Hospital
- Mount Pleasant, SC
- NPI 1255645644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1932268588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 MANDALAY PKWY",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302536109",
"telephone_number": "404-326-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W 3RD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011943",
"telephone_number": "229-312-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMY",
"first_name": "FLORENCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2011-00151",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "054419",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.