Lee Grimm, MD PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MD20507 Issued in TN

Legal business name

LEE GRIMM, MD PC

Practice address

3101 Browns Mill Rd PMB 386
Suite 6
Johnson City, TN 37604-4100

Phone

(423) 854-0001

Fax

(423) 854-0002

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lee Grimm, MD

Title

Owner

Phone

(423) 854-0001

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407065709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 CLARINGTON CV",
            "address_2": "SUITE 3",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715657",
            "telephone_number": "423-854-0001",
            "fax_number": "423-854-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BROWNS MILL RD PMB 386",
            "address_2": "SUITE 6",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044100",
            "telephone_number": "423-854-0001",
            "fax_number": "423-854-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE GRIMM, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-854-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "MD20507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00111800",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053456",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adelaide S Ledes
• Christopher R Ledes, M.D.
• Amanda D Ledford, NP
• Miranda Elizabeth Ledford, PA
• Robin Marie Ledford, PEER SPECIALIST
• Allyson Elizabeth Lee, LCSW
• Jennifer Lee
• Joseph Robert Lee, M.D.
• Michelle Lanphere Lee, RD, LDN
• Nathaniel J Lee, MD

• Legal Medicine in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Legal Medicine in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.