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Deactivated NPI 1669419263 Deactivated / Inactive NPI Male Practitioner

Dr. Eric Blackistone Mims , MD

Emergency Medicine • Fort Worth, TX

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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, Dr. Eric Mims has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2006
NPI Deactivation Date May 30, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Eric Mims, MD was a registered Emergency Medicine practicing in Fort Worth, TX. Throughout an active medical career spanning 12 years, Dr. Mims provided care at the practice location at 1622 8TH AVENUE until profile deactivation on 2018-05-30.

Historical Medicare Part B clinical services included emergency department visit with low level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1622 8th Avenue
Suite 110

Fort Worth, TX 761044155

Telephone 8179215447
Fax 8179213708
Associated Practice Facility / Clinic
🏢 Texas Health Care, P.l.l.c. Facility NPI 1124185814

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
230 Specialists

Practicing in Fort Worth, TX (5048 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
37 37 $850.00 $61.03

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License TX J0890

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Charles Carlton , MD

Internal Medicine

NPI 1003820572

Doctor of Medicine (M.D.)

Angela Winstead

Nurse Practitioner

NPI 1033515267
Dr. Kira Haydon , MD

Family Medicine

NPI 1134419120

Doctor of Medicine (M.D.)

Kimberly Mizener , FNP

Nurse Practitioner

NPI 1174860597

Family Nurse Practitioner

Dr. Norman Davenport , MD

Internal Medicine

NPI 1194739664

Doctor of Medicine (M.D.)

Cynthia Sommer , FNP

Nurse Practitioner

NPI 1285190678

Family Nurse Practitioner

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 May 30, 2018

Record deactivated on May 30, 2018

NPI Profile Active September 27, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 27, 2011

Registered at 1622 8TH AVENUE, SUITE 110, FORT WORTH, TX 761044155 (Tel: 8179215447)

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Updated Business Mailing Address September 27, 2011

Registered at P.O. BOX 961205, FORT WORTH, TX 761611205 (Tel: 8177408400)

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Provider Name / Credentials Updated September 27, 2011

Recorded as ERIC MIMS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2011

Emergency Medicine (License #J0890 in TX)

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Initial NPI Registration & Enumeration June 01, 2006

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: 1669419263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: September 27, 2011
Deactivation Date: May 30, 2018

Mailing Address

P.o. Box 961205

Fort Worth, TX 761611205

Phone: 8177408400

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.