NPIMap

Individual provider Active NPI

James R Grimes, M.D.

  • Family Medicine Physician
  • Warrenton, MO
National Provider Identifier
1649262106
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006001772 Issued in MO
Practice address
605 E Boonslick Road
Suite B
Warrenton, MO 63383
Phone
(636) 456-6103
Fax
(636) 390-4341
NPI assigned
Aug 19, 2005
Last updated
Jan 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51139 GA
Family Medicine Physician 207Q00000X 2006001772 MO Primary

Addresses

Primary practice location

605 E Boonslick Road
Suite B
Warrenton, MO 63383

Mailing address

901 Patients First Dr
Washington, MO 63090-4700
Phone (636) 239-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20060426000293 MO Practitioner - Family Practice 3678583317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

200 State Hwy 47
Marthasville, MO 63357-1714
Phone (636) 433-5411

851 E 5TH St
Washington, MO 63090-3130

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51139GAMDFamily Medicine Physician
2006001772MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Family Medicine Current Accepting new patients
Mercy Hospitals East Communities Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Mercy Hospitals East Communities Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Patients First Health Care LLC Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

200 State Highway 47
Marthasville, MO 63357
Phone (636) 266-7365

9513 Highway 100
New Haven, MO 63068
Phone (573) 237-6100

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

1502 W Meyer Rd
Wentzville, MO 63385
Phone (636) 698-6200

Interoperability endpoints

  • Direct secure messaging: jgrimes76852@directc.mercy.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Clinic East CommunitiesSullivan, MO, CCN 268979 Rural health clinic Corporate Director Jul 1, 2020
Mercy Clinic East CommunitiesCuba, MO, CCN 268986 Rural health clinic Corporate Director Jul 1, 2020
Mercy Clinic East CommunitiesBourbon, MO, CCN 268984 Rural health clinic Corporate Director Jul 1, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1649262106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-239-4100",
            "fax_number": "636-390-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E BOONSLICK ROAD",
            "address_2": "SUITE B",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "63383",
            "telephone_number": "636-456-6103",
            "fax_number": "636-390-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "51139",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006001772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, MO

Sources for this page

Verify at the official NPI Registry.