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

Q: 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.

Q: What is Gregory Mims's specialty?

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

Q: 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 6 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.

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: October 18, 2026.

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

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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

Phone(304) 366-0700

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

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Secondary Practice Locations 2

Location 11 Columbia RdShinnston, WV 26431-1016 · Phone (304) 592-1040

Location 2118 Market StMannington, WV 26582-1131 · Phone (304) 986-1750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Gregory Mims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monongahela Valley Association Of Health Centers, Inc

Same address

Federally Qualified Health Center (FQHC)

1322 LOCUST AVE
Fairmont, WV 26554

Reassigned Medicare billing, West Virginia enrollment
19 clinicians in this Medicare group

NPI 1770697278 (304) 366-0700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SARIAH DALE WALDRON

Nurse Practitioner (Primary Care)