Active NPI
Aimee Russell Grace, DO
- Internal Medicine Physician
- Corbin, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 03619
- Practice address
- 2 Trillium Way
Suite 306
Corbin, KY 40701-8490 - Phone
- (606) 526-4070
- Fax
- (606) 526-4072
- NPI assigned
- Mar 29, 2010
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 03619 | KY | Primary |
Addresses
Primary practice location
2 Trillium Way
Suite 306
Corbin, KY 40701-8490
Mailing address
PO Box 1325
Corbin, KY 40702-1325
Phone (606) 526-8131
Other practice location 1
210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104 ext. 4188
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12628450 | Other | CAQH | |
| 7100265930 | Medicaid | KY | |
| P01329276 | Other | KY | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agrace6957@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
2 Trillium Way
Suite 306
Corbin, KY 40701-8426
Phone (606) 526-4070
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc. | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Kentucky PSC | Current | Accepting new patients | |
| South Central Physicians PLLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Memorial Hospital, Inc. | Current | Accepting new patients | |
| Memorial Hospital, Inc. | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Healthcare System, Inc | Past | Accepting new patients |
Locations
2 Trillium Way
Ste 106
Corbin, KY 40701
Phone (606) 526-4070
2 Trillium Way
Ste 306
Corbin, KY 40701
Phone (606) 523-4070
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000
305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994
1602 Avenue Q
Lubbock, TX 79401
Phone (469) 312-5137
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Corbin, KY
- NPI 1356503114
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
dba AdventHealth Manchester
- Rural Health Clinic/Center
- Manchester, KY
- NPI 1255471827
Internal Medicine
-
dba Physician Services of Memorial Hospital
- Specialist
- Manchester, KY
- NPI 1831150119
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
-
dba AdventHealth Medical Group Manchester
- Family Medicine Physician
- Manchester, KY
- NPI 1912137720
-
dba Baptist Health Corbin
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Corbin
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831414341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1325",
"city": "CORBIN",
"state": "KY",
"postal_code": "407021325",
"telephone_number": "606-526-8131",
"fax_number": "606-528-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TRILLIUM WAY",
"address_2": "SUITE 306",
"city": "CORBIN",
"state": "KY",
"postal_code": "407018490",
"telephone_number": "606-526-4070",
"fax_number": "606-526-4072"
}
],
"practiceLocations": [
{
"address_1": "210 Marie Langdon Dr",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "KY",
"postal_code": "409626388",
"country_code": "US",
"telephone_number": "606-598-5104 x4188",
"fax_number": "606-598-0983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRACE",
"first_name": "AIMEE",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2023-03-07",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "03619",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12628450",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100265930",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01329276",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agrace6957@bhkydirect.com",
"affiliation": "N",
"address_1": "2 Trillium Way",
"address_2": "Suite 306",
"city": "Corbin",
"state": "KY",
"country_code": "US",
"postal_code": "407018490",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corbin, KY
- Grace Community Health Center, Inc. (Grace Health)
- Grace Community Health Center, Inc. (Grace Health Women's Care)
- Grace Community Health Center, Inc.
- Grace Community Health Center, Inc. (Corbin Middle School Based Health Care)
- Grace Community Health Center, Inc.
- Nancy B Graham, MD
- Kasi Nicole Grande, BA
- Stephanie Hope Graves
- Adrian Denise Gray, FNP-BC
- Amanda Shay Gray, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.