NELIA FORTSON MIMS (DPT) – Physical Therapist, NPI 1023692290

NELIA FORTSON MIMS (DPT) is a healthcare provider. based in Sylvester, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT015212 (GA). The NPI Number for NELIA FORTSON MIMS (DPT) is 1023692290

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
NELIA FORTSON MIMS (DPT)
NPI
1023692290
Phone
(229) 821-3892
Address
1009 W Franklin St
Enumeration Date
12 May 2021
Last Update Date
7 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293536188
Graduation Year
2021 (5 years ago)
PAC ID
1951703016
Group Practice PAC ID
2062745169
Professional Enrollment ID
I20210712002986
Address ID
GA317942749TI2227XNXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for NELIA FORTSON MIMS (DPT)

  • 1009 W Franklin St

    Sylvester, GA 317917174

    Phone: (229) 821-3892

    Type: Location

  • 2227 US HIGHWAY 41 N

    TIFTON, GA 317942749

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210712002986IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes77970$0
97530Therapy procedure using functional activities27654$0
97140Therapy procedure using manual technique, each 15 minutes6621$0
97161Evaluation for physical therapy, typically 20 minutes4139$0
View full utilization report →

Insurance plans in this area (ZIP 31791)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062745169View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
-GA
-GA
Nurse PractitionerGA
Family Practice, Emergency MedicineGA
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary DiseaseMD
-GA

Reviews

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Frequently asked questions

What is the registry number for NELIA FORTSON MIMS (DPT)?
The registry entry for NELIA FORTSON MIMS (DPT) shows NPI 1023692290.
Should I treat NELIA FORTSON MIMS (DPT) as an active provider?
Patients and plans typically see NELIA FORTSON MIMS (DPT) as active in the national extract.
Which specialty label fits NELIA FORTSON MIMS (DPT)?
NPPES ties NELIA FORTSON MIMS (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to NELIA FORTSON MIMS (DPT)?
NELIA FORTSON MIMS (DPT) shows a connection to Sylvester, Georgia in registry-derived data.
Can I export NELIA FORTSON MIMS (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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