Alison Mims, RN
Individual provider Active NPI Certified Registered Nurse Anesthetist · Rock Spring, GA
NPI 1972909810 · NPPES record last updated Feb 6, 2015
Key facts
- NPI
- 1972909810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APN19599 (TN)
- Practice address
- 231 Hunting Ridge Cir
Rock Spring, GA 30739-5022 - Phone
- (423) 802-0169
- NPI assigned
- Nov 4, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Surgical, LLC
Practice addresses (Care Compare)
1247 Riverfront Pkwy
Suite 100
Chattanooga, TN 37402-2108
Phone (423) 206-9000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150410001127 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0143548735 | Reassigns benefits to 2 organizations |
| I20220817001843 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0143548735 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-121145 | AL | MD | Registered Nurse |
| 173545 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Southeastern Surgical, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Southeastern Surgical, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current |
Accepting new patients | |
| North Georgia Anesthesia Services PC | Current |
Accepting new patients |
Locations
1104 Professional Blvd
Dalton, GA 30720
Phone (706) 226-5533
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
1247 Riverfront Pkwy
Ste 100
Chattanooga, TN 37402
Phone (423) 206-9000
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 173545 | TN | |
| Registered Nurse | 163W00000X | 1-121145 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | APN19599 | TN | Yes |
Addresses
Primary practice location
231 Hunting Ridge Cir
Rock Spring, GA 30739-5022
Mailing address
231 Hunting Ridge Cir
Rock Spring, GA 30739-5022
Other providers in Rock Spring, GA
- Jimmy Simpson Foundation, Inc.
- Lookout Mountain Community Service
- Lookout Mountain Community Service
- Lookout Mountain Community Services
- MH Health Care Services, PC
- North Georgia Vision Center Inc
- North Georgia Vision Center Inc
- Northwest Georgia Baptist Association
- Primary Medical Consultants, LLC
- Elizabeth Carol Purrington
All providers in Rock Spring, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2015. 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.
- 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.