Active NPI
Jessica Grimes
- Psychiatry Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO.2474
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95426 | SC | MD | Gastroenterology Physician |
| 2474 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| Altapointe Health Systems, Inc. | Current | Accepting new patients | |
| Altapointe Health Systems, Inc. | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mobile, AL
- NPI 1518095413
-
- Federally Qualified Health Center (FQHC)
- Foley, AL
- NPI 1003707332
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.