Individual provider Active NPI

Aimee Russell Grace, DO

  • Internal Medicine Physician
  • Corbin, KY
National Provider Identifier
1831414341
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
03619 Issued in KY
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12628450OtherCAQH
7100265930MedicaidKY
P01329276OtherKYRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131003000228 KY Practitioner - HospitalistPractitioner - Internal Medicine 6608000716 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

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 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc. Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
Apogee Medical Group Kentucky PSC CurrentSince Aug 25, 2013 Accepting new patients
South Central Physicians PLLC CurrentSince Dec 24, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 26, 2016 Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince May 1, 2014 Accepting new patients
Memorial Hospital, Inc. Current Accepting new patients
Memorial Hospital, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2014 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.

Hospital & facility affiliations 1

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": "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

Sources for this page

Verify at the official NPI Registry.