Individual provider Active NPI

Jessica Grimes

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1518323823
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO.2474 Issued in AL
Practice address
1015 Montlimar Dr
Mobile, AL 36609-1713
Phone
(251) 450-2211
NPI assigned
Jan 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO.2474 AL Primary

Addresses

Primary practice location

1015 Montlimar Dr
Mobile, AL 36609-1713

Mailing address

5750A Southland Dr
Mobile, AL 36693-3316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY, NC, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210401001876 AL Practitioner - Psychiatry 1153738497 Reassigns benefits to 2 organizations
I20220802003630 NY Practitioner - Psychiatry 1153738497 Reassigns benefits to 1 organization
I20221018000281 NC Practitioner - Psychiatry 1153738497 Reassigns benefits to 2 organizations
I20260219000333 SC Practitioner - Psychiatry 1153738497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

Mobile, AL 36606
Phone (833) 351-8255

555 Fayetteville St
Suite 201
Raleigh, NC 27601-3034
Phone (833) 351-8255

900 Trail Ridge Rd
FL 1
Aiken, SC 29803-7765
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95426SCMDGastroenterology Physician
2474ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Aug 18, 2022 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Mar 1, 2021 Accepting new patients

Locations

374 Greeno Rd S
Fairhope, AL 36532
Phone (251) 450-2250

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

1850 Airport Blvd
Mobile, AL 36606
Phone (228) 243-9771

11 N Water St
Fl 10
Mobile, AL 36602
Phone (205) 860-7878

1015 Montlimar Dr
Mobile, AL 36609
Phone (251) 450-2250

555 Fayetteville St
Ste 201
Raleigh, NC 27601
Phone (919) 780-4178

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

900 Trail Ridge Rd
Fl 1
Aiken, SC 29803
Phone (803) 233-2882

10 Hospital Center Cmns
Ste 400
Hilton Head Island, SC 29926

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.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1518323823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750A SOUTHLAND DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MONTLIMAR DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091713",
            "telephone_number": "251-450-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "DO.2474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.