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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER GRIMM PA-C
NPI 1003607045
Physician Assistant in Marietta, GA

Active since May 16, 2025PECOS Enrolled
340 KENNESTONE HOSPITAL BLVD STE 100, MARIETTA, GA 30060(770) 402-6438 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, May 16, 2025 (2 updates tracked since 2025).

About Jennifer Grimm Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER GRIMM PA-C (NPI 1003607045) is an individual physician assistant in Marietta, Georgia and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003607045
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER GRIMMCredential: PA-C
Location Address340 KENNESTONE HOSPITAL BLVD STE 100Marietta, GA 30060-1158
Mailing Address340 Kennestone Hospital Blvd Ste 100Marietta, GA 30060-1158
Phone(770) 402-6438
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 16, 2025
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1003607045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
340 KENNESTONE HOSPITAL BLVD STE 100, Marietta, GA 30060
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Grimm Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678042058
PECOS Enrollment IDI20260514003203
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MEGAN NICHOLE DALTON PA-C
Physician Assistant (Medical)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
DR. STEVEN LELAND MCCUNE MD, PHD
Internal Medicine (Hematology & Oncology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
GARRETT MCBROOM PA
Physician Assistant (Medical)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
MRS. ROSEMARY ELAINE TAORMINA AGPCNP-BC
Nurse Practitioner (Gerontology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
DR. RAUL H. OYOLA MD
Internal Medicine (Hematology & Oncology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
DR. DON W SHAFFER MD
Internal Medicine (Hematology & Oncology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
MRS. LAUREN K RICKOFF PA-C
Physician Assistant (Medical)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
MS. KIMBERLY HOPE OBENSHAIN PA
Physician Assistant (Medical)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Grimm's NPI number?

The NPI number for Jennifer Grimm is 1003607045. It was assigned to this individual provider in the NPPES registry on May 16, 2025.

Where is Jennifer Grimm located?

Jennifer Grimm practices at 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060. The listed phone number is (770) 402-6438.

What is Jennifer Grimm's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jennifer Grimm enrolled in Medicare?

Yes. Jennifer Grimm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Grimm was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.