C N Grimes, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004068 Issued in GA

Legal business name

C N GRIMES, INC

Practice address

920 Dannon VW SW
Suite 3104
Atlanta, GA 30331-2157

Phone

(404) 629-3933

NPI assigned

May 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Cornelius Clayborne Grimes, LCSWNPI 1710265145

Title

Clinical Social Worker

Phone

(404) 840-0640

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cornelius Clayborne Grimes, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1710265145
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1083059760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 ARROWOOD DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DANNON VW SW",
            "address_2": "SUITE 3104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312157",
            "telephone_number": "404-629-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C N GRIMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_middle_name": "CLAYBORNE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "404-840-0640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.