Emily Glass Mims, is a medicare enrolled "Nurse Practitioner" in Rockford, Alabama. Her current practice location is
9518 Us Highway 231, Rockford, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 319-8000.
Emily Glass Mims is licensed to practice in Alabama (license number 1-153476) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780177030.
Provider's Profile
| Full Name | Emily Glass Mims |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 9518 Us Highway 231, Rockford, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780177030
- Provider Enumeration Date: 06/12/2018
- Last Update Date: 12/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577814755
- Enrollment ID: I20180927000879
Medical Identifiers
Medical identifiers for Emily Glass Mims such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780177030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 13321-33 (Wisconsin) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | C-APN.0004565-C-NP (Colorado) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0032762 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024185584 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 405313 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704396960 (Michigan) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61361054 (Washington) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 281709 (Arizona) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10000073 (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95022860 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ15239700 (New Jersey) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | GAA-NP001082 (Georgia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5017485 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 1-153476 (Alabama) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11022098 (Florida) | Secondary |
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. Emily Glass Mims allows following entities to bill medicare on her behalf.
| Entity Name | American Family Care, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669429080
PECOS PAC ID: 9739087818
Enrollment ID: O20031229000157 |
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| Entity Name | Altapointe Health Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518095413
PECOS PAC ID: 1052224052
Enrollment ID: O20040206000701 |
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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. Emily Glass Mims 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 |
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Emily Glass Mims,
5750a Southland Dr,
Mobile, AL 36693-3316
Ph: (251) 450-5916 | Emily Glass Mims,
9518 Us Highway 231,
Rockford, AL 35132-5551
Ph: (205) 319-8000 |
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