KENNETH M MIMS MD
NPI 1275501132
Anesthesiology in Stockbridge, GA

Q: What is Kenneth Mims's NPI number?

The NPI number for Kenneth Mims is 1275501132. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is Kenneth Mims's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Mims was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 08, 2006PECOS Enrolled

1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(770) 389-2200(770) 389-1124 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth M Mims Md NPPES

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

KENNETH M MIMS MD (NPI 1275501132) is an individual anesthesiology provider in Stockbridge, Georgia, licensed in Georgia (045298) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275501132

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameKENNETH M MIMSCredential: MD

Location Address1133 EAGLES LANDING PKWYStockbridge, GA 30281-5085

Mailing AddressPo Box 102966Atlanta, GA 30368-2966 · (770) 237-1561 · Fax (770) 237-1124

Phone(770) 389-2200

Fax(770) 389-1124

Sole ProprietorNo

Enumeration DateMarch 8, 2006

Last NPPES UpdateOctober 12, 2007

✔ NPI 1275501132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in GA · 045298

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1133 EAGLES LANDING PKWY, Stockbridge, GA 30281

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Other Identifiers 2

Medicare ID-Type Unspecified05BDKWPGA

Medicare UPING78747GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth M Mims Md 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

18 services18 patients

Other Providers at the Same Location NPPES 20

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

DR. BRIGITTE VANLE MD

Emergency Medicine