MEDICARE: ANDREW HAIRSTON MIMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	69848	TN

General Provider Information

NPI Number	:	1750900213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW HAIRSTON MIMS MD

Provider Business Mailing Address
First Line	:	979 E 3RD ST
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37403-2136
Country	:	US
Telephone Number	:	423-778-4830
Fax Number	:

Provider Business Practice Location Address
First Line	:	979 E 3RD ST
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37403-2136
Country	:	US
Telephone Number	:	423-778-4830
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2020
Last Update Date	:	06/12/2026

Similar Medicare Providers

1306849849 — DANIEL B HERZ M.D.
Practice Location Address:

979 E 3RD ST , SUITE C-925
CHATTANOOGA, TN
37403-2136

Practice Phone: 423-778-5910
Practice Fax: 423-778-5915

1497750400 — PLAZA SURGERY, G.P.
Practice Location Address:

979 E 3RD ST
CHATTANOOGA, TN
37403-2136

Practice Phone: 423-778-3192
Practice Fax: 423-778-2164

1518963990 — ADEL N SHENOUDA MD
Practice Location Address:

979 E 3RD ST , STE B1111
CHATTANOOGA, TN
37403-2136

Practice Phone: 423-778-7036
Practice Fax: 423-778-7832

1073510509 — DR. CHANNAPPA CHANDRA M.D.
Practice Location Address:

979 E 3RD ST , SUITE C430
CHATTANOOGA, TN
37403-2136

Practice Phone: 423-624-6584
Practice Fax: 423-624-6588

1326047622 — DR. MITCHELL L MUTTER MD
Practice Location Address:

979 E 3RD ST , SUITE C-0925
CHATTANOOGA, TN
37403-2136

Practice Phone: 423-697-2000
Practice Fax: 423-697-2118

1124029194 — CHARLES T BRICE MD
Practice Location Address:

979 E 3RD ST , STE B 801
CHATTANOOGA, TN
37403-2136

Practice Phone: 423-267-2392
Practice Fax: 423-778-2433

Directions to “ ANDREW HAIRSTON MIMS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.