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Deactivated NPI 1477892438 Deactivated / Inactive NPI Male Practitioner

Ted Mims

Case Manager/Care Coordinator • Lakeland, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ted Mims has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 11, 2013
NPI Deactivation Date January 24, 2024
Total Practice Duration ~11 Years of Practice (2013 – 2024)

Professional Overview & Biography Verified Profile Summary

Ted Mims was a registered Case Manager/Care Coordinator practicing in Lakeland, FL. Throughout an active medical career spanning 11 years, Ted Mims provided care at the practice location at 1831 GILMORE AVE until profile deactivation on 2024-01-24.

Practice Location & Contact Primary Location

Practice Address

1831 Gilmore Ave

Lakeland, FL 338053017

Telephone 8635190575
Fax 8635829251
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Lakeland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
47 Specialists

Practicing in Lakeland, FL (5060 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kimberly Mangus

Registered Nurse

NPI 1003213810
Imprice Johnson , RN

Registered Nurse

NPI 1003351800

Registered Nurse

Michelle David

Community Health Worker

NPI 1003382185
Edda Colon Aviles

Case Manager/Care Coordinator

NPI 1003441841
Sherry Ross Williams

Community Health Worker

NPI 1003443979
Jessica Little , LMHC

Counselor - Mental Health

NPI 1013233998

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 24, 2024

Record deactivated on January 24, 2024

NPI Profile Active February 11, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 11, 2013

Registered at 1831 GILMORE AVE, LAKELAND, FL 338053017 (Tel: 8635190575)

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Updated Business Mailing Address February 11, 2013

Registered at PO BOX 1559, BARTOW, FL 338311559

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Provider Name / Credentials Updated February 11, 2013

Recorded as TED MIMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2013

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration February 11, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477892438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2013
Last Update: February 11, 2013
Deactivation Date: January 24, 2024

Mailing Address

Po Box 1559

Bartow, FL 338311559

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.