MR. GREGORY S MIMS II MD
NPI 1629064910
Family Medicine in Fairmont, WV

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
1322 LOCUST AVE, FAIRMONT, WV 26554(304) 366-0700(304) 366-9529 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Mar 7, 2023 (2 updates tracked since 2023).

About Mr. Gregory S Mims Ii Md NPPES

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

MR. GREGORY S MIMS II MD (NPI 1629064910) is an individual family medicine provider in Fairmont, West Virginia, licensed in West Virginia (23477) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (1997).

NPPES Registry Identity

NPI1629064910
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. GREGORY S MIMS IICredential: MD
Location Address1322 LOCUST AVEFairmont, WV 26554-1436
Mailing Address1322 Locust AveFairmont, WV 26554-1436 · (304) 366-0700 · Fax (304) 366-9529
Fax(304) 366-9529
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1997
Enumeration DateSeptember 22, 2005
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1629064910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WV · 23477 Licensed in PA · MD069739L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1322 LOCUST AVE, Fairmont, WV 26554

Secondary Practice Locations 2

Location 1118 Market StMannington, WV 26582-1131 · Phone (304) 986-1750
Location 21 Columbia RdShinnston, WV 26431-1016 · Phone (304) 592-1040

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

Mr. Gregory S Mims Ii Md 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 ID8729979786
PECOS Enrollment IDI20080327000361
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 26554 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 20

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

Nurse Practitioner (Primary Care)
1322 LOCUST AVE
FAIRMONT, WV 26554
Nurse Practitioner (Family)
1322 LOCUST AVE
FAIRMONT, WV 26554
Pharmacist
1322 LOCUST AVE
FAIRMONT, WV 26554
Physician Assistant
1322 LOCUST AVE
FAIRMONT, WV 26554
Clinic/Center (Radiology)
1322 LOCUST AVE
FAIRMONT, WV 26554
Internal Medicine
1322 LOCUST AVE
FAIRMONT, WV 26554
Pharmacist
1322 LOCUST AVE
FAIRMONT, WV 26554
Pediatrics
1322 LOCUST AVE
FAIRMONT, WV 26554

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 Gregory Mims's NPI number?

The NPI number for Gregory Mims is 1629064910. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Gregory Mims located?

Gregory Mims practices at 1322 Locust Ave, Fairmont, WV 26554. The listed phone number is (304) 366-0700.

What is Gregory Mims's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gregory Mims enrolled in Medicare?

Yes. Gregory 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.

When was this NPI record last updated?

The NPPES record for Gregory Mims was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.