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Kenterrious Brooks-Mims

Contractor β€’ Albany, GA

Active NPI 1073043493 Individual Practitioner Male Practitioner
Practice location in NPPES

408 Poinciana Ave
Albany, GA 317054502

Call 2292556842 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

408 Poinciana Ave

Albany, GA 317054502

Telephone 2292556842
Organization at the Same NPPES Address or Phone
Rambling Solutions Llc Facility NPI 1306766696

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Albany and Georgia

85 active clinicians are listed under Contractor with a practice address in Albany, GA (704 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Albany

0% of these 85 clinicians have the CMS telehealth indicator.

0% of these 85 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Contractor

βœ…
NPI Profile Active June 18, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 18, 2017

Registered at 408 POINCIANA AVE, ALBANY, GA 317054502 (Tel: 2292556842)

πŸ“
Business Mailing Address (Initial Record) June 18, 2017

Registered at 408 POINCIANA AVE, ALBANY, GA 317054502

πŸ‘€
Provider Name / Credentials (Initial Record) June 18, 2017

Recorded as KENTERRIOUS BROOKS-MIMS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2017

Contractor (license number reported to NPPES: GA $$$$$$$$$)

🟒
Initial NPI Registration & Enumeration June 18, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073043493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

408 Poinciana Ave

Albany, GA 317054502

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.