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KIMBERLY CHARLETTE TAYLOR-MIMS
NPI 1740144906
Nurse Practitioner - Family in Bainbridge, GA

Active since December 12, 2025PECOS EnrolledAccepts Medicare Assignment
340 RIVER OAKS DR, BAINBRIDGE, GA 39817(229) 220-0869 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Charlette Taylor-mims NPPES

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

KIMBERLY CHARLETTE TAYLOR-MIMS (NPI 1740144906) is an individual family provider in Bainbridge, Georgia, licensed in Georgia (APRN-NP215240) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1740144906
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY CHARLETTE TAYLOR-MIMS
Location Address340 RIVER OAKS DRBainbridge, GA 39817-1005
Mailing Address340 River Oaks DrBainbridge, GA 39817-1005 · (229) 220-0869
Phone(229) 220-0869
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1740144906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-NP215240
340 RIVER OAKS DR, Bainbridge, GA 39817
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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 and accepts Medicare assignment

Kimberly Charlette Taylor-mims 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 ID9133604986
PECOS Enrollment IDI20260330002041
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 Reassignments

2

Medicare enrollment records show Kimberly Taylor-mims reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Axis Multispecialty Group PLLC
157 mi
Specialist
817 NW 56TH TER STE B
Gainesville, FL 32605
  • Reassigned Medicare billing, Florida enrollment
  • 45 clinicians in this Medicare group
NPI 1033099775 (352) 234-3050
Florida Rehab Specialists, PLLC
166 mi
Adult Medicine
300 NW 1ST AVE
Williston, FL 32696
  • Reassigned Medicare billing, Florida enrollment
  • 198 clinicians in this Medicare group
NPI 1447941984 (352) 234-3050

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 39817 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Kimberly Taylor-mims's NPI number?

The NPI number for Kimberly Taylor-mims is 1740144906. It was assigned to this individual provider in the NPPES registry on December 12, 2025.

Where is Kimberly Taylor-mims located?

Kimberly Taylor-mims practices at 340 River Oaks Dr, Bainbridge, GA 39817. The listed phone number is (229) 220-0869.

What is Kimberly Taylor-mims's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Taylor-mims enrolled in Medicare?

Yes. Kimberly Taylor-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.

Which organizations bill Medicare for Kimberly Taylor-mims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Taylor-mims reassigns Medicare benefits to 2 organizations: Axis Multispecialty Group PLLC (Gainesville, FL) and Florida Rehab Specialists, PLLC (Williston, FL). Each 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 Kimberly Taylor-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 Kimberly Taylor-mims was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.