Individual provider Active NPI

Wendy Page Grimes, FNP-C

  • Family Nurse Practitioner
  • Colquitt, GA
National Provider Identifier
1588397228
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN174280 Issued in GA
Practice address
727 Union Church Rd
Colquitt, GA 39837-7003
Phone
(229) 442-2566
NPI assigned
Jul 8, 2022
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN174280 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250422002169 GA Practitioner - Nurse Practitioner 9335664341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donalsonville Hospital IncGroup PAC ID 7113919820, 63 clinicians

Practice addresses (Care Compare)

102 Hospital Cir
Donalsonville, GA 39845-1100
Phone 2295245217218

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN174280GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Donalsonville Hospital Inc CurrentSince Feb 17, 2025 Accepting new patients

Locations

102 Hospital Cir
Donalsonville, GA 39845

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1588397228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 UNION CHURCH RD",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398377003",
            "telephone_number": "229-442-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 UNION CHURCH RD",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398377003",
            "telephone_number": "229-442-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "WENDY",
        "middle_name": "PAGE",
        "name_prefix": "Prof.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN174280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colquitt, GA

Sources for this page

Verify at the official NPI Registry.