Individual provider Active NPI

Robin Ann Grimm, NP-C

  • Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1447459797
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F3206 Issued in SC
Practice address
525 Michelin Rd
Greenville, SC 29605-6131
Phone
(864) 458-1376
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F3206 SC Primary

Addresses

Primary practice location

525 Michelin Rd
Greenville, SC 29605-6131

Mailing address

525 Michelin Rd
Greenville, SC 29605-6131
Phone (864) 458-1376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20090715000229 SC Practitioner - Nurse Practitioner 1153473608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

20 Hawthorne Park CT
Greenville, SC 29615-3194
Phone (864) 535-5381

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3206SCMDChiropractor
F3206SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of South Carolina Medical PC CurrentSince Aug 28, 2011 Accepting new patients
Premise Health of South Carolina Medical PC CurrentSince Aug 28, 2011 Accepting new patients
Health Providers of America, LLC CurrentSince Mar 16, 2022 Accepting new patients

Locations

916 Wesley Ct
Boiling Springs, SC 29316
Phone (864) 599-9929

10 Parkway S
Greenville, SC 29615
Phone (864) 458-6933

525 Michelin Rd
Greenville, SC 29605
Phone (864) 458-1376

20 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 288-6775

3744 Torrington Rd
Laurens, SC 29360
Phone (864) 682-2322

110 Summit Hills Dr
Spartanburg, SC 29307
Phone (864) 208-8725

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1447459797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MICHELIN RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296056131",
            "telephone_number": "864-458-1376",
            "fax_number": "864-458-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MICHELIN RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296056131",
            "telephone_number": "864-458-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "ROBIN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "F3206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.