Clay Grimes, AG-ACNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN9349258 Issued in FL

Practice address

564 Redberry LN
Saint Johns, FL 32259-4807

Phone

(904) 806-8262

NPI assigned

Nov 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMS Neurohealth Florida PLLCGroup PAC ID 2163854175, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clay.grimes.1@19860.direct.athenahealth.com
• Direct secure messaging: clay.grimes.1@29383.direct.athenahealth.com

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.

• TMS Neurohealth Florida PLLC

  • Psychiatry Physician
  • Clearwater, FL
  • NPI 1073179123
  Medicare reassignment Care Compare group NPD
• Rise Psychiatric Group Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • St Johns, FL
  • NPI 1013870575
  NPD Authorized official
• Resources for Mental Wellness LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1144991134

  Psychiatric/Mental Health

  NPD
• Carlos Torrellas MD, LLC

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1235941857

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1245636471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 REDBERRY LN",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594807",
            "telephone_number": "904-806-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 REDBERRY LN",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594807",
            "telephone_number": "904-806-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "CLAY",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9349258",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9349258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Grebe, LMHC
• Lynda Leffler Gridley, M.S., CCC-SLP
• Griffith Speech and Language LLC
• Kristina Marie Griffith, MA
• Robert Lee Grigsby III, M.D.
• Grow Boldly Speech Therapy, LLC
• Jennifer Meyering Grubbs, NBC-HWC, MFS
• Guardian Physician Group LLC
• Kelsie Florence Gurley
• Karissa A. Gussmann, SLP

• Psychiatric/Mental Health Nurse Practitioner in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.