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DR. SCOTT EDWARD MIMMS M.D.
NPI 1104084326
Surgery in Crawfordsville, IN

Active since May 23, 2008
1704 LAFAYETTE RD STE 5, CRAWFORDSVILLE, IN 47933(765) 361-3011(765) 362-5540 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2021, Apr 16, 2019 (2 updates tracked since 2019).

About Dr. Scott Edward Mimms M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT EDWARD MIMMS M.D. (NPI 1104084326) is an individual surgery provider in Crawfordsville, Indiana, licensed in Indiana (01068514A) and active in the NPI registry since May 2008. He maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1104084326
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SCOTT EDWARD MIMMSCredential: M.D.
Location Address1704 LAFAYETTE RD STE 5Crawfordsville, IN 47933
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(765) 361-3011
Fax(765) 362-5540
Sole ProprietorYes
Enumeration DateMay 23, 2008
Last NPPES UpdateMarch 15, 20212 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1104084326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IN · 01068514A
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1704 LAFAYETTE RD STE 5, Crawfordsville, IN 47933
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Secondary Practice Location 1

Location 17250 Clearvista Drive, Suite 100Indianapolis, IN 46256-4640 · Phone (317) 621-5673 · Fax (317) 621-6040

Other Identifiers 2

Medicaid200986830IN
Other000000781470IN · Anthem

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN BREE MD
Surgery
1704 LAFAYETTE RD STE 5
CRAWFORDSVILLE, IN 47933
Montgomery County (765) 361-3011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Mimms's NPI number?

The NPI number for Scott Mimms is 1104084326. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Where is Scott Mimms located?

Scott Mimms practices at 1704 Lafayette Rd Ste 5, Crawfordsville, IN 47933. The listed phone number is (765) 361-3011.

What is Scott Mimms's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Scott Mimms was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.