Individual provider Active NPI

John Grimes, CRNP

  • Acute Care Nurse Practitioner
  • Guntersville, AL
National Provider Identifier
1174956908
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-083810 Issued in AL
Practice address
7938 Al Hwy 69
Suite 100
Guntersville, AL 35976
Phone
(256) 571-8445
Fax
(256) 571-8447
NPI assigned
Aug 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-083810 AL Primary

Addresses

Primary practice location

7938 Al Hwy 69
Suite 100
Guntersville, AL 35976

Mailing address

211 Ohara Dr
Apt/Suite
Albertville, AL 35950-2597
Phone (256) 293-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131203001329 AL Practitioner - Nurse Practitioner 5092941609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
North Alabama Specialty HospitalGroup PAC ID 5698095222, 12 clinicians
Marshall Medical Center South Manganaris PulmonologyGroup PAC ID 5092976787, 7 clinicians

Practice addresses (Care Compare)

107 Governors Dr SW
Huntsville, AL 35801-4326
Phone (256) 817-9252

7938 Al Hwy 69
Suite 210
Guntersville, AL 35976-7135
Phone (256) 571-8807

8000 Al Hwy 69
Guntersville, AL 35976-7140
Phone (256) 571-8000

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center South Manganaris Pulmonology CurrentSince Aug 22, 2016 Accepting new patients
North Alabama Specialty Hospital CurrentSince Jul 15, 2025 Accepting new patients
North Alabama Specialty Hospital CurrentSince Jul 15, 2025 Accepting new patients

Locations

7938 AL Highway 69
Ste 100
Guntersville, AL 35976
Phone (256) 571-8445

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

55 Rowe Dr
#C
Guntersville, AL 35976
Phone (256) 571-8810

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

107 Governors Dr SW
Huntsville, AL 35801
Phone (256) 417-9986

1000 Chinaberry Dr
Ste 200
Bossier City, LA 71111

Interoperability endpoints

  • Direct secure messaging: johngrimes@dcmmmc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1174956908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 OHARA DR",
            "address_2": "APT/SUITE",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502597",
            "telephone_number": "256-293-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7938 AL HWY 69",
            "address_2": "SUITE 100",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-571-8445",
            "fax_number": "256-571-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JOHN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-083810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.