RUBY GRIMM, M.D.
NPI 1477805166
Internal Medicine - Hematology & Oncology in Statesville, NC
About Ruby Grimm, M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUBY GRIMM, M.D. (NPI 1477805166) is a healthcare organization registered as a hematology & oncology in Statesville, North Carolina and active in the NPI registry since October 2012. The organization lists Kathryn Heles, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ruby Grimm, M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
116Medicare enrollment records show 116 clinicians reassign Medicare billing to Ruby Grimm, M.D., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 23
Nearest to this location (20)
See all 116Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Iredell Physician Network, LLC's NPI number?
The NPI number for Iredell Physician Network, LLC is 1477805166. It was assigned to this organization in the NPPES registry on October 5, 2012. The provider is doing business as Ruby Grimm, M.D..
Where is Iredell Physician Network, LLC located?
Iredell Physician Network, LLC is located at 738 Bryant St, Statesville, NC 28677. The listed phone number is (704) 873-2219.
What is Iredell Physician Network, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Iredell Physician Network, LLC enrolled in Medicare?
Yes. Iredell Physician Network, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Iredell Physician Network, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 23 Medicare specialties reassign their Medicare billing to Iredell Physician Network, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (39), Nurse Practitioner (29) and Family Practice (10). Of these, 6 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Iredell Physician Network, LLC was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Ruby Grimm, M.d. · NPI 1477805166
Hematology & Oncology organization in Statesville, North Carolina. Organization record, active in the CMS NPPES registry since October 5, 2012.
## Identity
- **NPI:** 1477805166 (Entity type: Organization)
- **Enumerated:** October 5, 2012
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **Legal business name:** Iredell Physician Network, Llc
- **Organization subpart:** No
- **Authorized official:** Kathryn Heles, CREDENTIALING
## Practice location
- **Address:** 738 BRYANT ST, Statesville, NC 28677-4189
- **Phone:** (704) 873-2219 · **Fax:** (704) 873-1379
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 116 clinicians in 23 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (39), Nurse Practitioner (29), Family Practice (10); 6 practice at this address and 51 within 10 miles; [full list](https://npiprofile.com/npi/1477805166/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477805166) · Data from the CMS NPPES public registry.