Individual provider Active NPI

Johnna Grimes, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Madison, AL
National Provider Identifier
1679934632
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-126764 Issued in AL
Practice address
101 Westover Cir Ste B
Madison, AL 35758-4910
Phone
(256) 325-3800
NPI assigned
Mar 17, 2016
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-126764 AL Primary

Addresses

Primary practice location

101 Westover Cir Ste B
Madison, AL 35758-4910

Mailing address

101 Westover Cir Ste B
Madison, AL 35758-4910
Phone (256) 325-3800

Other practice location 1

9238 Madison Blvd Ste 100
Madison, AL 35758-9112
Phone (256) 302-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170111001674 AL Practitioner - Nurse Practitioner 6901196526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor-Patient Medicine IncGroup PAC ID 5193075901, 9 clinicians

Practice addresses (Care Compare)

101 Westover Cir
Suite B
Madison, AL 35758-4910
Phone (256) 325-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21051TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor-Patient Medicine Inc CurrentSince Aug 15, 2022 Accepting new patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Aug 13, 2023 Accepting new patients
The Orthopaedic Center CurrentSince Nov 10, 2021 Accepting new patients

Locations

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

4810 Whitesport Cir SW
Ste 120
Huntsville, AL 35801
Phone (256) 536-9604

927 Franklin St SE
Fl 1
Huntsville, AL 35801

101 Westover Cir
Ste B
Madison, AL 35758
Phone (256) 606-9303

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 3

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 4

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": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1679934632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WESTOVER CIR STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584910",
            "telephone_number": "256-325-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WESTOVER CIR STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584910",
            "telephone_number": "256-325-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9238 Madison Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589112",
            "country_code": "US",
            "telephone_number": "256-302-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JOHNNA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-126764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.