Autumn Grimm, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5013625 Issued in NC

Practice address

511 Lauchwood Dr
Laurinburg, NC 28352-5502

Phone

(704) 335-3400

NPI assigned

Oct 20, 2020

Sex

Female

Sole proprietor

No

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 NC

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCPC-22, LLCGroup PAC ID 7315338324, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Merit-based Incentive Payment System (MIPS)

Final score

92.24 of 100Reported as group

Quality

100

Promoting interoperability

89

Improvement activities

40

Cost

83.29

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agrimm11284@firsthealth.direct-ci.net

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.

• MCPC-22, LLC

  • Specialist
  • Pinehurst, NC
  • NPI 1255207593
  Medicare reassignment Care Compare group NPD
• Firsthealth of the Carolinas, Inc.

  • Rural Health Clinic/Center
  • Troy, NC
  • NPI 1548276389
  Medicare reassignment NPD
• Firsthealth of the Carolinas, Inc Dba Firsthealth Neurology

  • Specialist
  • Pinehurst, NC
  • NPI 1750002002
  NPD
• Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic

  • Obesity Medicine (Preventive Medicine) Physician
  • Pinehurst, NC
  • NPI 1316626104
  NPD
• MCPC-22, LLC

  • Specialist
  • Fayetteville, NC
  • NPI 1821787151
  NPD
• MCPC-22, LLC

  • Specialist
  • Pinehurst, NC
  • NPI 1053074369
  NPD (past)
• Mecklenburg Neurological Associates, PA

  • Neurology Physician
  • Charlotte, NC
  • NPI 1952469710
  NPD (past)

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

• Firsthealth of the Carolinas, Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Pinehurst, NC
  • NPI 1740463967

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc

  • Land Ambulance
  • Pinehurst, NC
  • NPI 1871610378

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  • Oncology Clinic/Center
  • Pinehurst, NC
  • NPI 1417010422

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  • General Acute Care Hospital
  • Pinehurst, NC
  • NPI 1740208081
  Care Compare affiliation

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1265031413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 FAIRWAY DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283527954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525502",
            "telephone_number": "704-335-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "AUTUMN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Hollis Gordon, CRNA
• Grab Logistical Solutions Inc
• Grace Galloway LLC
• Jennifer Lynn Graham
• Deborah White Greimel, M.D.
• Sylvia S Grooms, MA, LCAS
• Joy Guest
• Habiba Tunau MD PLLC
• Paula Clayton Haines, PHARM D
• Sherry Lynne Hamby, PH.D.

• Family Nurse Practitioner in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.