EMILY GLASS MIMS
NPI 1780177030
Nurse Practitioner in Rockford, AL

Active since June 12, 2018PECOS EnrolledAccepts Medicare Assignment
9518 US HIGHWAY 231, ROCKFORD, AL 35132(205) 319-8000 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2025, Jan 15, 2020, Jun 12, 2018 (3 updates tracked since 2018).

About Emily Glass Mims NPPES

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

EMILY GLASS MIMS (NPI 1780177030) is an individual nurse practitioner in Rockford, Alabama, licensed in Alabama (1-153476) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780177030
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEMILY GLASS MIMS
Location Address9518 US HIGHWAY 231Rockford, AL 35132-5551
Mailing Address5750a Southland DrMobile, AL 36693-3316 · (251) 450-5916
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 12, 2018
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1780177030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AL · 1-153476
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 13321-33 (WI), C-APN.0004565-C-NP (CO), APRN.CNP.0032762 (OH), 0024185584 (VA), 405313 (NY), 4704396960 (MI), AP61361054 (WA), 281709 (AZ), 10000073 (OR), 95022860 (CA), 26NJ15239700 (NJ), GAA-NP001082 (GA), 5017485 (NC), APRN11022098 (FL)
9518 US HIGHWAY 231, Rockford, AL 35132

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

Emily Glass 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 ID3577814755
PECOS Enrollment IDI20180927000879
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.

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 Emily Mims's NPI number?

The NPI number for Emily Mims is 1780177030. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Emily Mims located?

Emily Mims practices at 9518 Us Highway 231, Rockford, AL 35132. The listed phone number is (205) 319-8000.

What is Emily Mims's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Emily Mims enrolled in Medicare?

Yes. Emily 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 Emily Mims accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Emily 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 Emily Mims was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.