Active NPI
Misty Grimes
- Certified Registered Nurse Anesthetist
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN214620
- Practice address
- 417 W 3Rd Ave
Albany, GA 31701-1943 - Phone
- (229) 312-1000
- NPI assigned
- May 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN214620 | GA | Primary |
Addresses
Primary practice location
417 W 3Rd Ave
Albany, GA 31701-1943
Mailing address
500 W 3Rd Ave
Ste 101
Albany, GA 31701-1985
Phone (229) 312-5869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 Ross Clark Cir
Suite 3
Dothan, AL 36301-9900
Phone (334) 793-3411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN214620 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veronox Anesthesia, LLC | Current | Accepting new patients | |
| Gut PC | Current | Accepting new patients | |
| Epix Anesthesia of Alabama LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gut PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Phoebe Physician Group, Inc | Past | Accepting new patients | |
| Gut Endo, LLC | Past | Accepting new patients | |
| Phoebe Putney Memorial Hospital, Inc. | Past | Accepting new patients | |
| Phoebe Putney Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
301 Medical Park Blvd
Dothan, AL 36301
Phone (334) 305-2699
1450 Ross Clark Cir
Ste 4
Dothan, AL 36301
Phone (334) 699-7900
2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411
480 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 792-6933
201 E Watts St
Enterprise, AL 36330
Phone (334) 383-5474
400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584
200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Dothan, AL
- NPI 1073566006
-
- Anesthesiology Physician
- Roswell, GA
- NPI 1629427059
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Enterprise, AL
- NPI 1669951604
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Rural Health Clinic/Center
- Pelham, GA
- NPI 1821239765
-
- Rural Health Clinic/Center
- Camilla, GA
- NPI 1821293788
-
- Ambulatory Surgical Clinic/Center
- Dothan, AL
- NPI 1548844384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1043502115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W 3RD AVE",
"address_2": "STE 101",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011985",
"telephone_number": "229-312-5869",
"fax_number": "229-889-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W 3RD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011943",
"telephone_number": "229-312-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMES",
"first_name": "MISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-09",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN214620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.