Jade Rene Grimes

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008151 Issued in GA

Practice address

126 Pavilion Pkwy
Fayetteville, GA 30214-4056

Phone

(770) 954-8988

Fax

(404) 393-2447

NPI assigned

Aug 24, 2021

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Weston Group Inc.

  dba The Weston Health Care Group Inc

  • Physical Therapist
  • Acworth, GA
  • NPI 1841309101

  Occupational Therapist

  Medicare reassignment NPD
• Stern at Home Physical Therapy PC

  dba Stern At Home Therapy

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  GA, Occupational Therapist

  Medicare reassignment NPD
• The Weston Group Inc.

  • Physical Therapist
  • Easton, PA
  • NPI 1750250759
  NPD

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1144997651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PAVILION PKWY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144056",
            "telephone_number": "770-954-8988",
            "fax_number": "404-393-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JADE",
        "middle_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristiana Gregg, NURSE PRACTITIONER
• Melanie Michele Gregg, PHARMD
• Katharine Gridley
• Dauda A Griffin, M.D.
• Orianna Griffith, RBT
• Cailla Grizzle
• Edward Scott Gronka, M.D.
• David M Gryboski, M.D.
• Faith Louise Guadalupe, LCSW
• Guardian Angels Adult Living LLC

• Occupational Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.