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RILEY MIMS
NPI 1649983958
Speech-Language Pathologist in Douglas, GA

Active since January 02, 2023
618 BOWENS MILL RD SW, DOUGLAS, GA 31533(912) 331-0846(678) 792-4894 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Riley Mims NPPES

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

RILEY MIMS (NPI 1649983958) is an individual speech-language pathologist provider in Douglas, Georgia, licensed in Georgia (PCET003756) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1649983958
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameRILEY MIMS
Location Address618 BOWENS MILL RD SWDouglas, GA 31533-3926
Mailing Address618 Bowens Mill Rd SwDouglas, GA 31533-3926 · (912) 331-0846 · Fax (678) 792-4894
Phone(912) 331-0846
Fax(678) 792-4894
Sole ProprietorNo
Enumeration DateJanuary 2, 2023
NPPES CertifiedJanuary 2, 2023
✔ NPI 1649983958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in GA · PCET003756
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
618 BOWENS MILL RD SW, Douglas, GA 31533
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riley Mims is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Azalea Rehab Services, LLC
51 mi
Speech-Language Pathologist
2301 BEMISS RD
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 17 clinicians in this Medicare group
NPI 1992062426 (229) 244-1667

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

Other Providers at the Same Location NPPES 17

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

TERESA LYNN MCELROY M ED CCC/SLP
Speech-Language Pathologist
618 BOWENS MILL RD SW
DOUGLAS, GA 31533
Coffee County (912) 331-0846
JESSICAL HALL M.ED CCC-SLP
Speech-Language Pathologist
618 BOWENS MILL RD SW
DOUGLAS, GA 31533
Coffee County (912) 331-0846
JLD SPEECH THERAPY, LLC
Speech-Language Pathologist
618 BOWENS MILL RD SW
DOUGLAS, GA 31533
Coffee County (912) 539-1612
KAMERYN SPIVEY
Speech-Language Pathologist
618 BOWENS MILL RD SW
DOUGLAS, GA 31533
Coffee County (912) 493-2661
THE SPEECH & SWALLOWING CLINIC, LLC
Clinic/Center (Hearing and Speech)
618 BOWENS MILL RD SW
DOUGLAS, GA 31533
Coffee County (912) 331-0846
BRANDIE ALTMAN M.ED CCC-SLP
Speech-Language Pathologist
618 BOWENS MILL RD SW
DOUGLAS, GA 31533
Coffee County (912) 331-0846
EMILY BRADSHAW M.ED CCC-SLP
Speech-Language Pathologist
618 BOWENS MILL RD SW
DOUGLAS, GA 31533
Coffee County (678) 792-4894
THE THERAPY TREE FOR PEDIATRICS, LLC
Behavior Analyst
618 BOWENS MILL RD SW
DOUGLAS, GA 31533
Coffee County (912) 331-0846

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 Riley Mims's NPI number?

The NPI number for Riley Mims is 1649983958. It was assigned to this individual provider in the NPPES registry on January 2, 2023.

Where is Riley Mims located?

Riley Mims practices at 618 Bowens Mill Rd SW, Douglas, GA 31533. The listed phone number is (912) 331-0846.

What is Riley Mims's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Riley Mims enrolled in Medicare?

Yes. Riley Mims is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Riley Mims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riley Mims reassigns Medicare benefits to Azalea Rehab Services, LLC (Valdosta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Riley Mims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Riley Mims was last updated on January 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.