MRS. KEATON LEIGH MIMS M.S.N.
NPI 1619228251
Nurse Practitioner - Pediatrics in Mount Pleasant, SC

Active since September 23, 2012PECOS EnrolledAccepts Medicare Assignment
1952 LONG GROVE DR, MOUNT PLEASANT, SC 29464(843) 971-2992(843) 971-2998 Get Directions Write a Review

NPPES record last updated: February 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 16, 2025, Dec 5, 2018 (2 updates tracked since 2018).

About Mrs. Keaton Leigh Mims M.s.n. NPPES

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

MRS. KEATON LEIGH MIMS M.S.N. (NPI 1619228251) is an individual pediatrics provider in Mount Pleasant, South Carolina, licensed in South Carolina (APN.18027RX) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619228251
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. KEATON LEIGH MIMSCredential: M.S.N.
Location Address1952 LONG GROVE DRMount Pleasant, SC 29464-7579
Mailing AddressPo Box 602108Charlotte, NC 28260-2108
Fax(843) 971-2998
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 23, 2012
Last NPPES UpdateFebruary 16, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2025
NPI 1619228251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in SC · APN.18027RX
1952 LONG GROVE DR, Mount Pleasant, SC 29464

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Keaton Leigh Mims M.s.n. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002338084
PECOS Enrollment IDI20250319002027
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 29464 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
1952 LONG GROVE DR
MT PLEASANT, SC 29464
Nurse Practitioner
1952 LONG GROVE DR, SUITE 202
MT PLEASANT, SC 29464
Pharmacist
1952 LONG GROVE DR, SUITE 5
MT PLEASANT, SC 29464
Pediatrics
1952 LONG GROVE DR, SUITE 202
MOUNT PLEASANT, SC 29464

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 Keaton Mims's NPI number?

The NPI number for Keaton Mims is 1619228251. It was assigned to this individual provider in the NPPES registry on September 23, 2012.

Where is Keaton Mims located?

Keaton Mims practices at 1952 Long Grove Dr, Mount Pleasant, SC 29464. The listed phone number is (843) 971-2992.

What is Keaton Mims's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Keaton Mims enrolled in Medicare?

Yes. Keaton Mims is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Keaton Mims accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Keaton Mims as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keaton Mims was last updated on February 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.