MRS. EMILY ANNE GRIMM (PA- C) – Medical Physician Assistant, NPI 1144242413
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,202 PHYSICIAN ASSISTANT in AL
Provider Addresses for MRS. EMILY ANNE GRIMM (PA- C)
2055 E SOUTH BLVD STE 603
MONTGOMERY, AL 361162014
Phone: (334) 747-8800
Fax: (334) 747-8810
Type: Location
301, Brown Springs Road, Mitylene, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361177005
Phone: (334) 273-4159
Fax: (334) 273-4556
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2023-06-13 • Largest payer in this snapshot: Getinge USA Sales, LLC ($39).
Total Amount
$58
General + Research + Ownership
Payments
2
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Getinge USA Sales, LLC | $39 |
| Boston Scientific Corporation | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-03-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180118000869 | I | Physician Assistant | AL | TBD |
| I20180705002649 | I | Physician Assistant | HI | TBD |
| I20200821002219 | I | Physician Assistant | OH | TBD |
| I20240307002507 | I | Thoracic Surgery | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Addiction Medicine, Family Practice | AL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | AL | |
| Family Practice | AL | |
| Family Practice | AL | |
| - | AL | |
| Interventional Cardiology | AL | |
| Nurse Practitioner | AL |
Reviews
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