Cornelius Clayborne Grimes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004068 Issued in GA

Practice address

920 Dannon VW SW
Suite 3104
Atlanta, GA 30331-2157

Phone

(404) 840-0640

NPI assigned

Aug 2, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• C N Grimes, Inc

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1083059760
  Medicare reassignment Authorized official
• Middle Flint Area Community Service Board

  • Community/Behavioral Health Agency
  • Fort Valley, GA
  • NPI 1366521932
  Medicare reassignment NPD
• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324
  Medicare reassignment NPD
• View Point Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrenceville, GA
  • NPI 1609853860
  Medicare reassignment NPD
• Middle Flint Area Community Service Board

  • Public Health or Welfare Agency
  • Americus, GA
  • NPI 1093784720
  NPD
• Middle Flint Area Community Service Board

  • Community/Behavioral Health Agency
  • Americus, GA
  • NPI 1487822599
  NPD

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1710265145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 ARROWOOD DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443810",
            "telephone_number": "404-840-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DANNON VW SW",
            "address_2": "SUITE 3104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312157",
            "telephone_number": "404-840-0640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Howell Mill Rd NW Ste 275",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303183098",
            "country_code": "US",
            "telephone_number": "404-756-1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "CORNELIUS",
        "middle_name": "CLAYBORNE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Griggs
• Taylor Denae Griggs
• Tony M Griggs, OPA-C
• Arthur Abraham Grigorian, M.D.
• Elaine Grimes-Dixon, APRN, AGPCNP-BC
• Jada Grimes
• Maya Grimes
• Scheleda Venique Grimes, MSN, FNP-BC, FNP-C
• Shatari Grimes, OTR/L
• Staci Grimm

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.