Wendy Page Grimes, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Colquitt, GA
NPI 1588397228 · NPPES record last updated Jul 8, 2022
Key facts
- NPI
- 1588397228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN174280 (GA)
- Practice address
- 727 Union Church Rd
Colquitt, GA 39837-7003 - Phone
- (229) 442-2566
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Donalsonville Hospital Inc
Practice addresses (Care Compare)
102 Hospital Cir
Donalsonville, GA 39845-1100
Phone 2295245217218
Hospital & facility affiliations
- Donalsonville Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250422002169 | GA | Practitioner - Nurse Practitioner | 9335664341 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donalsonville Hospital Inc | Current |
Accepting new patients |
Locations
102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN174280 | GA | Yes |
Addresses
Primary practice location
727 Union Church Rd
Colquitt, GA 39837-7003
Mailing address
727 Union Church Rd
Colquitt, GA 39837-7003
Phone (229) 442-2566
Other providers in Colquitt, GA
- Dr and Associates Rehabilitation, LLC
- Charles J Fetner
- Brandy Smith Floyd
- Four C, LLC
- Ivanshi A Gondalia
- Grimsley Dental Clinic, LLC
- Joseph Wayne Grimsley
- Markesha Leshea Groomes
- Patty Hall
- Brittany N. Harrison
All providers in Colquitt, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.