Individual provider Active NPI

Dustin John Grimmett, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Guntersville, AL
National Provider Identifier
1487098166
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
327 Issued in AL
Practice address
7633 Al Highway 69
Guntersville, AL 35976-7137
Phone
(256) 571-8750
Fax
(256) 571-8767
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 327 AL
Primary Podiatric Medicine Podiatrist 213EP1101X 327 AL Primary

Addresses

Primary practice location

7633 Al Highway 69
Guntersville, AL 35976-7137

Mailing address

7633 Al Highway 69
Guntersville, AL 35976-7137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160901000555 AL Practitioner - Podiatry 8022304070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7633 Al Hwy 69
Guntersville, AL 35976-7137
Phone (256) 571-8750

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Merit-based Incentive Payment System (MIPS)

Final score
97.07 of 100Reported as group
Quality
90.91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue118
Removal of skin lesions145
Removal of nail tissue1272
Removal or shaving of skin growth340
Skin biopsy23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
327ALMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Specialists of Alabama LLC Single Specialty CurrentSince Aug 18, 2016 Accepting new patients
Foot Specialists of Alabama LLC Single Specialty CurrentSince Aug 18, 2016 Accepting new patients
Rebel Foot & Ankle Single Specialty Current Accepting new patients
Foot Specialists of Alabama LLC Single Specialty Past Accepting new patients

Locations

601A Corley Ave
Boaz, AL 35957
Phone (208) 604-3387

7633 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8750

1601 Veterans Dr
Ste 112
Scottsboro, AL 35769
Phone (256) 571-8750

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGAHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBHGAD/Endpoint/JBHGAD

Organizations & group practices 4

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1487098166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 AL HIGHWAY 69",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 AL HIGHWAY 69",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767137",
            "telephone_number": "256-571-8750",
            "fax_number": "256-571-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMMETT",
        "first_name": "DUSTIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "327",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AL",
            "license": "327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.