Billy Gene Mims-goodman, CRNA in Atlanta, GA - Medicare Nurse Anesthetist, Certified Registered

Billy Gene Mims-goodman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Atlanta, Georgia. His current practice location is 5671 Peachtree Dunwoody Rd Ne, Suite 680, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 705-6985.

Billy Gene Mims-goodman is licensed to practice in Georgia (license number RN134535) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083673883.

Contact Information

	Billy Gene Mims-goodman, CRNA
	5671 Peachtree Dunwoody Rd Ne, Suite 680, Atlanta, GA 30342-5000
	(404) 705-6985
	(404) 851-9950

Map and Direction

Provider's Profile

Full Name	Billy Gene Mims-goodman
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	5671 Peachtree Dunwoody Rd Ne, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083673883
Provider Enumeration Date: 03/21/2006
Last Update Date: 11/18/2010

Medicare PECOS Information:

PECOS PAC ID: 2668423880
Enrollment ID: I20050204000593

Medical Identifiers

Medical identifiers for Billy Gene Mims-goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083673883	NPI	-	NPPES
000820432	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN134535 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Billy Gene Mims-goodman allows following entities to bill medicare on his behalf.

Entity Name	Ahp Of Georgia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467400481 PECOS PAC ID: 4082683412 Enrollment ID: O20041001000098

Entity Name	Ahp Of Central Georgia, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972638047 PECOS PAC ID: 1254437841 Enrollment ID: O20070427000156

Entity Name	Progressive Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215225560 PECOS PAC ID: 7618148263 Enrollment ID: O20110912000776

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106

Entity Name	Everest Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568158418 PECOS PAC ID: 2961868559 Enrollment ID: O20230524002431

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Billy Gene Mims-goodman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Billy Gene Mims-goodman, CRNA Po Box 740209, Dept 1029, Atlanta, GA 30374-0209 Ph: (941) 360-1566	Billy Gene Mims-goodman, CRNA 5671 Peachtree Dunwoody Rd Ne, Suite 680, Atlanta, GA 30342-5000 Ph: (404) 705-6985

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Atlanta, GA

Hannah L Steele, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455
Susan C. Osgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455
Lynnon Leana Connerly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree Street, Suite 1600, Atlanta, GA 30308 Phone: 404-253-6820 Fax: 404-874-1249
Mrs. Shani G Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd., Nw, Atlanta, GA 30309 Phone: 404-351-1745 Fax: 404-351-7121
Vivian S. Fontenot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455
Charita Merchant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 678-216-0771
Caitlin Quigley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-5437

Billy Gene Mims-goodman, CRNA - Medicare Nurse Anesthetist, Certified Registered in Atlanta, GA