Individual provider Active NPI

Michael G Grimes, MD

  • Family Medicine Physician
  • Alliance, OH
National Provider Identifier
1336122175
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35077014G Issued in OH
Practice address
2484 W State St
Alliance, OH 44601-5608
Phone
(330) 313-2784
Fax
(330) 654-9086
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35077014G OH Primary

Addresses

Primary practice location

2484 W State St
Alliance, OH 44601-5608

Mailing address

6384 Hollyridge St NW
North Canton, OH 44720-9402
Phone (330) 802-2281

Other identifiers 1

IdentifierTypeStateIssuer
2256311MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000108 OH Practitioner - Family Practice 3577589787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Professional Care, LLCGroup PAC ID 7416857198, 53 clinicians

Practice addresses (Care Compare)

1413 Portage St NW
North Canton, OH 44720-2288
Phone (330) 499-7591

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35077014GOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy U Academy, LLC Family Medicine Current Accepting new patients
Mercy Professional Care, LLC Family Medicine CurrentSince Dec 1, 2022 Accepting new patients
Skill Doc 101, LLC Past Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2484 W State St
Alliance, OH 44601
Phone (330) 829-2338

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

1413 Portage St NW
North Canton, OH 44720
Phone (330) 499-7591

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1336122175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6384 HOLLYRIDGE ST NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447209402",
            "telephone_number": "330-802-2281",
            "fax_number": "330-654-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 W STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015608",
            "telephone_number": "330-313-2784",
            "fax_number": "330-654-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35077014G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2256311",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.