Individual provider Active NPI

Alison Mims, RN

  • Certified Registered Nurse Anesthetist
  • Rock Spring, GA
National Provider Identifier
1972909810
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN19599 Issued in TN
Practice address
231 Hunting Ridge Cir
Rock Spring, GA 30739-5022
Phone
(423) 802-0169
NPI assigned
Nov 4, 2014
Last updated
Feb 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 173545 TN
Registered Nurse 163W00000X 1-121145 AL
Certified Registered Nurse Anesthetist 367500000X APN19599 TN Primary

Addresses

Primary practice location

231 Hunting Ridge Cir
Rock Spring, GA 30739-5022

Mailing address

231 Hunting Ridge Cir
Rock Spring, GA 30739-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Surgical, LLCGroup PAC ID 7911393509, 9 clinicians

Practice addresses (Care Compare)

1247 Riverfront Pkwy
Suite 100
Chattanooga, TN 37402-2108
Phone (423) 206-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-121145ALMDRegistered Nurse
173545TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Anesthesia Services PC CurrentSince Aug 1, 2022 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2015 Accepting new patients
Southeastern Surgical, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2022 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jan 22, 2015 Accepting new patients
Southeastern Surgical, LLC Nurse Anesthetist, Certified Registered 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

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1972909810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 HUNTING RIDGE CIR",
            "city": "ROCK SPRING",
            "state": "GA",
            "postal_code": "307395022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 HUNTING RIDGE CIR",
            "city": "ROCK SPRING",
            "state": "GA",
            "postal_code": "307395022",
            "telephone_number": "423-802-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "ALISON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "173545",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-121145",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN19599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Spring, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.