MS. ANDRIEA L. MIMBS NP-C
NPI 1154719540
Nurse Practitioner in Macon, GA

Q: What is Andriea Mimbs's NPI number?

The NPI number for Andriea Mimbs is 1154719540. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Q: What is Andriea Mimbs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Andriea Mimbs was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 07, 2015PECOS Enrolled

308 COLISEUM DR STE 120, MACON, GA 31217(478) 745-6130(478) 745-4443 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Nov 6, 2017 (2 updates tracked since 2017).

On this page

About Ms. Andriea L. Mimbs Np-c NPPES

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

MS. ANDRIEA L. MIMBS NP-C (NPI 1154719540) is an individual nurse practitioner in Macon, Georgia, licensed in Georgia (RN135482) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dublin.

NPPES Registry Identity

NPI1154719540

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. ANDRIEA L. MIMBSCredential: NP-C

Location Address308 COLISEUM DR STE 120Macon, GA 31217-3859

Mailing Address1835 Savoy Dr Ste 300Atlanta, GA 30341-1071 · (678) 288-9555 · Fax (678) 288-9556

Phone(478) 745-6130

Fax(478) 745-4443

Sole ProprietorNo

Enumeration DateJanuary 7, 2015

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1154719540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN135482

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 135482 (GA)

308 COLISEUM DR STE 120, Macon, GA 31217

Open in Google Maps ↗

Secondary Practice Location 1

Location 1206 Hospital Dr, suite bDublin, GA 31021-2560 · Phone (478) 272-8266 · Fax (478) 272-7552

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Andriea L. Mimbs Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$19.50 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$109.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 13

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

MRS. MEGAN L OSBORNE PA-C

Physician Assistant