Individual provider Active NPI

Grant Gallimore, M.D.

  • Nephrology Physician
  • Murray, KY
National Provider Identifier
1750672234
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01101252297 Issued in VA
Practice address
803 Poplar St
Murray, KY 42071-2432
Phone
(270) 762-1100
NPI assigned
May 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4044443 KY
Nephrology Physician 207RN0300X 01101252297 VA Primary

Addresses

Primary practice location

803 Poplar St
Murray, KY 42071-2432

Mailing address

300 S 8TH St Ste 480W
Murray, KY 42071-2403
Phone (270) 762-1321

Other practice location 1

301 Fisher St
Keesler AFB, MS 39534-2508
Phone (731) 693-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200520001965 TN Practitioner - Internal MedicinePractitioner - Nephrology 6709042401 Reassigns benefits to 3 organizations
I20250924000433 KY Practitioner - Nephrology 6709042401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murray-Calloway County Public Hospital CorporationGroup PAC ID 0840103297, 89 clinicians

Practice addresses (Care Compare)

803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1597

Hospital & facility affiliations

  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027
  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
  • Murray Calloway County Hospital Inpatient rehabilitation facility, Murray, KY, CCN 18T027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01101252297VAMDNephrology Physician
4044443KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Murray-Calloway County Public Hospital Corporation Current Accepting new patients
Henry County Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Murray-Calloway County Public Hospital Corporation CurrentSince Sep 1, 2025 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Oct 17, 2021 Accepting new patients
Murray-Calloway County Public Hospital Corporation CurrentSince Sep 1, 2025 Accepting new patients
West Tennessee Healthcare Hospitalists Inc CurrentSince Oct 1, 2024 Accepting new patients
Henry County Medical Center CurrentSince Mar 1, 2022 Accepting new patients
App of Tennessee HM, PLLC CurrentSince May 31, 2020 Accepting new patients
Murray-Calloway County Public Hospital Corporation Past Accepting new patients

Locations

300 S 8th St
Ste 380W
Murray, KY 42071
Phone (270) 753-0704

300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

2712 Criswell Ave
Pascagoula, MS 39567
Phone (228) 696-9690

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1750672234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 480W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712403",
            "telephone_number": "270-762-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 POPLAR ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712432",
            "telephone_number": "270-762-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Fisher St",
            "address_purpose": "LOCATION",
            "city": "Keesler AFB",
            "state": "MS",
            "postal_code": "395342508",
            "country_code": "US",
            "telephone_number": "731-693-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLIMORE",
        "first_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "4044443",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "01101252297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.