NPIMap

Individual provider Active NPI

Paul Jeffrey Grimm, M.D.

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1609841444
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
200000810 Issued in NC
Practice address
4055 Valley View LN
Dallas, TX 75244-5074
Phone
(855) 984-5121
NPI assigned
Feb 22, 2006
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200000810 NC
Family Medicine Physician 207Q00000X 059916 GA
Internal Medicine Physician 207R00000X 200000810 NC
General Practice Physician 208D00000X 200000810 NC Primary

Addresses

Primary practice location

4055 Valley View LN
Dallas, TX 75244-5074

Mailing address

4055 Valley View LN Ste 700
Dallas, TX 75244-5045
Phone (855) 984-5121

Other practice location 1

6201 Raeford Rd
Fayetteville, NC 28304-2425
Phone (910) 609-3780

Other practice location 2

1619 Buffalo Lake Rd
Sanford, NC 27332-2537
Phone (910) 343-3436

Other identifiers 4

IdentifierTypeStateIssuer
1278MOtherNCBCBSNC
202I086108OtherGAMEDICARE PTAN
003174806AMedicaidGA
7906805MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000577 NC Practitioner - Family PracticePractitioner - General Practice 6103821095 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Medical University of South Carolina College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians

Practice addresses (Care Compare)

1619 Buffalo Lake Rd
Sanford, NC 27332-2537
Phone (919) 343-3435

2265 NC Hwy 24 27 E
Biscoe, NC 27209-9758
Phone (919) 828-1131

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harnett Health System Inc CurrentSince Dec 1, 2023 Accepting new patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Harnett Health System, Inc. Current Accepting new patients
Harnett Health System Inc Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Jul 15, 2025 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Dec 13, 2022 Accepting new patients
Lillington Medical Services, LLC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Carolina Quickcare Family Practice, PLLC Family Medicine CurrentSince May 8, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC Family Medicine CurrentSince Jul 15, 2025 Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
Interventional Pain & Spine Specialists, PLLC General Practice Past Accepting new patients
Cape Fear Valley Health Medical Group LLC Past Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

6201 Raeford Rd
Fayetteville, NC 28304
Phone (910) 486-7777

225 Brightwater Dr
Ste 100
Lillington, NC 27546
Phone (910) 984-3080

7 E Duncan St
Lillington, NC 27546
Phone (910) 814-1212

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

1619 Buffalo Lake Rd
Sanford, NC 27332
Phone (910) 343-3435

4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pgrimm120615@capefearvalley.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1609841444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445045",
            "telephone_number": "855-984-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445074",
            "telephone_number": "855-984-5121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Raeford Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283042425",
            "country_code": "US",
            "telephone_number": "910-609-3780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 Buffalo Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273322537",
            "country_code": "US",
            "telephone_number": "910-343-3436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "PAUL",
        "middle_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200000810",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "059916",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200000810",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "200000810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "1278M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I086108",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003174806A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7906805",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.