Individual provider Active NPI

Archer E Grimley, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1043896806
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26522 Issued in NV
Practice address
1820 E Sahara Ave Ste 201
Las Vegas, NV 89104-3721
Phone
(702) 979-1111
Fax
(702) 979-6227
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26522 NV Primary

Addresses

Primary practice location

1820 E Sahara Ave Ste 201
Las Vegas, NV 89104-3721

Mailing address

PO Box 1000 Dept 394
Memphis, TN 38148-0001
Phone (941) 300-4440

Other practice location 1

4244 N 19th Ave
Phoenix, AZ 85015-5108
Phone (602) 661-0666

Other names 1

  • Sarah Jessica Grimley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241016002092 NV Practitioner - Family Practice 2163954017 Reassigns benefits to 2 organizations
I20260505001592 AZ Practitioner - Family Practice 2163954017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Can Community Health IncGroup PAC ID 6305883133, 42 clinicians

Practice addresses (Care Compare)

1820 E Sahara Ave
Suite 201
Las Vegas, NV 89104-3721
Phone (702) 979-1111

4244 N 19TH Ave
Phoenix, AZ 85015-5108
Phone (602) 661-0666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Can Community Health, Inc. Family Medicine CurrentSince Oct 14, 2024 Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Sep 5, 2025 Accepting new patients
Can Community Health Inc. CurrentSince Oct 14, 2024 Accepting new patients
Planned Parenthood Mar Monte Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Sep 5, 2025 Accepting new patients

Locations

4244 N 19th Ave
Phoenix, AZ 85015
Phone (602) 263-9465

9040 Town Center Pkwy
Ste 200
Lakewood Ranch, FL 34202

1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134

1820 E Sahara Ave
Ste 201
Las Vegas, NV 89104
Phone (702) 979-1111

1820 E Sahara Ave
Ste 200
Las Vegas, NV 89104
Phone (702) 979-1111

2225 Civic Center Dr
Ste 230
North Las Vegas, NV 89030
Phone (408) 795-3600

Interoperability endpoints

  • Direct secure messaging: archer.grimley.p1@direct.ppmarmonte.nextgenshare.com
  • Direct secure messaging: sarah.grimley@can.eclinicaldirectplus.com
  • Direct secure messaging: sgrimley582278@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1043896806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 394",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E SAHARA AVE STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043721",
            "telephone_number": "702-979-1111",
            "fax_number": "702-979-6227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4244 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850155108",
            "country_code": "US",
            "telephone_number": "602-661-0666",
            "fax_number": "877-869-9199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMLEY",
        "first_name": "ARCHER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "26522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GRIMLEY",
            "middle_name": "JESSICA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.