IndividualActive
Scott Mimms, M.D.
NPI 1104084326 · Surgery Physician · Crawfordsville, IN
Provider details
- NPI number
- 1104084326
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01068514A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(96/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1704 Lafayette Rd Ste 5
Crawfordsville, IN 47933
Phone: (765) 361-3011
Fax: (765) 362-5540
Street-level locationGet directions
Mailing address
Po Box 781076
Detroit, MI 48278-1076
Additional practice locations (2)
- 7250 Clearvista DriveSuite 100Indianapolis, IN 46256-4640Phone: (317) 621-5673Fax: (317) 621-6040
- 7250 Clearvista DriveSuite 100Indianapolis, IN 46256-4640Phone: (317) 621-5673Fax: (317) 621-6040
Registry dates
- Enumerated
- 2008-05-23
- Last updated
- 2021-03-15
- Certified
- 2021-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.