Individual provider Active NPI

Ashley Taylor Grimberg, FNP-BC

  • Family Nurse Practitioner
  • Villa Rica, GA
National Provider Identifier
1992595284
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP291998 Issued in GA
Practice address
101 Quartz Dr Ste 101
Villa Rica, GA 30180-3256
Phone
(770) 812-9445
NPI assigned
May 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP291998 GA Primary

Addresses

Primary practice location

101 Quartz Dr Ste 101
Villa Rica, GA 30180-3256

Mailing address

5204 N Helton Rd
Winston, GA 30187-1124

Other practice location 1

100 Tanner Dr
Bremen, GA 30110-2537
Phone (770) 812-9445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250902004109 GA Practitioner - Nurse Practitioner 9234630930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Immediate Care, IncGroup PAC ID 9133105976, 22 clinicians

Practice addresses (Care Compare)

101 Quartz Dr
Suite 101
Villa Rica, GA 30180-3252
Phone (770) 949-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP291998GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Immediate Care, Inc CurrentSince Sep 25, 2025 Accepting new patients

Locations

100 Tanner Dr
Bremen, GA 30110
Phone (770) 812-9445

1480 S Highway 27
Carrollton, GA 30117
Phone (770) 812-9445

101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1992595284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 N HELTON RD",
            "city": "WINSTON",
            "state": "GA",
            "postal_code": "301871124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 QUARTZ DR STE 101",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803256",
            "telephone_number": "770-812-9445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Tanner Dr",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301102537",
            "country_code": "US",
            "telephone_number": "770-812-9445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMBERG",
        "first_name": "ASHLEY",
        "middle_name": "TAYLOR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP291998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

Verify at the official NPI Registry.