P Praxis·MD
● Active Type 1 · Individual

MR. Jerry D. Grimes

Specialist/Technologist, Other·Austell, GA· NPI 1457579609 · Enumerated 2007 · 19 years on NPI
Grimes is 1 of 5 specialist/technologist, other providers in Austell and 1 of 92 in Georgia.
NPI age
19 years
Enumerated 2007-04-23
Primary specialty
Specialist/Technologist, Other
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 92 active specialist/technologist, other providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
705 Whisper Trl, Apt #204b
Austell, GA 301687135
📞 6784885272fax 7707239352
Mailing address
Po Box 28094
Atlanta, GA 303580094
📞 6784885272fax 7707239352

Specialties

  • Specialist/Technologist, Other Primary
    Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
    taxonomy 246ZS0410X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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