Individual provider Active NPI

Linda Simpson Grimes, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1598010803
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
204613 Issued in NC
Practice address
3201 Edwards Mill Rd Ste 141
#163
Raleigh, NC 27612-5371
Phone
(919) 443-2360
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024170535 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 204613 NC Primary

Addresses

Primary practice location

3201 Edwards Mill Rd Ste 141
#163
Raleigh, NC 27612-5371

Mailing address

4901 Deer Pointe CT
Greensboro, NC 27406-8714
Phone (336) 674-6149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121105000494 NC Practitioner - Nurse Practitioner 7911158795 Reassigns benefits to 3 organizations
I20131203001951 VA Practitioner - Nurse Practitioner 7911158795 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Pac Services PCGroup PAC ID 4587930672, 20 clinicians
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians

Practice addresses (Care Compare)

15051 Harmony Hills LN
Abingdon, VA 24211-7661
Phone (276) 451-2590

15089 Harmony Hills LN
Abingdon, VA 24211-7661
Phone (276) 619-4572

227 Landmark Dr
Stuart, VA 24171-9400
Phone (276) 694-3050

515 Barbour Rd
Smithfield, NC 27577-7698
Phone (919) 934-6017

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as individual
Quality
75
Improvement activities
40
Cost
85.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024170535VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pac Services PC CurrentSince Oct 1, 2017 Accepting new patients
Inpatient Consultants of North Carolina, PC Psychiatric/Mental Health CurrentSince Dec 1, 2014 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 1, 2022 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
NM Pacs 2 LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

90 Southside Ave
Ste 350
Asheville, NC 28801
Phone (864) 412-0446

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

515 Barbour Rd
Smithfield, NC 27577
Phone (919) 227-6261

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660

3610 Winchester Dr
Portsmouth, VA 23707
Phone (757) 297-0725

Organizations & group practices 5

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1598010803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 DEER POINTE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068714",
            "telephone_number": "336-674-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 EDWARDS MILL RD STE 141",
            "address_2": "#163",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125371",
            "telephone_number": "919-443-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "LINDA",
        "middle_name": "SIMPSON",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024170535",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "204613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.