MEDICARE: MS. MEREDITH ELLIS GRIMM P.A.-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA04783	TX
2	363A00000X	Physician Assistant	PA-526	AL

General Provider Information

NPI Number	:	1598783375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEREDITH ELLIS GRIMM P.A.-C

Provider Business Mailing Address
First Line	:	701 SOUTH 19TH STREET
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35294-0001
Country	:	US
Telephone Number	:	205-441-4496
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 SOUTH 19TH STREET
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35294-0001
Country	:	US
Telephone Number	:	205-441-4496
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	01/25/2008

Similar Medicare Providers

1265361752 — GARETH DUTTON PHD
Practice Location Address:

701 19TH STREET SOUTH
BIRMINGHAM, AL
35294-0001

Practice Phone: 205-934-6876
Practice Fax:

1184691099 — STEPHANIE L MCGILVRAY PA-C
Practice Location Address:

701 SOUTH 19TH STREET
BIRMINGHAM, AL
35294-0001

Practice Phone: 205-934-5526
Practice Fax:

1184661480 — MRS. AMANDA DIANE BAKER FNP-C
Practice Location Address:

1713 6TH AVENUE SOUTH
BIRMINGHAM, AL
35294-0001

Practice Phone: 205-996-6870
Practice Fax:

1912936071 — DR. CAROLINE BEESLEY PATE O.D.
Practice Location Address:

1716 UNIVERSITY BOULEVARD , HPB G080A
BIRMINGHAM, AL
35294-0001

Practice Phone: 205-975-2020
Practice Fax: 205-934-6755

1659301265 — MR. BRIAN CHARLES GOBER MAT, ATC, NREMT-P
Practice Location Address:

1670 VOLKER HALL , L209 UNIVERSITY BLVD
BIRMINGHAM, AL
35294-0001

Practice Phone: 205-934-5870
Practice Fax:

1386662120 — MR. DAVID P. HENZE ATC
Practice Location Address:

210E BARTOW ARENA , 617 13TH ST SO
BIRMINGHAM, AL
35294-0001

Practice Phone: 205-934-9040
Practice Fax: 205-975-7286

Directions to “ MS. MEREDITH ELLIS GRIMM P.A.-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.