JAMES AARON GRUBBS M.D.
NPI 1538327481
Internal Medicine - Infectious Disease in Augusta, GA

Q: What is James Grubbs's NPI number?

The NPI number for James Grubbs is 1538327481. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Q: What is James Grubbs's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for James Grubbs was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 28, 2008PECOS EnrolledAccepts Medicare Assignment

77.82/100

CMS Quality Rating

1120 15TH ST, AUGUSTA, GA 30912(706) 721-8623(706) 721-1459 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 8, 2023, Dec 8, 2020, Sep 10, 2020 and 2 more (5 updates tracked since 2016).

On this page

About James Aaron Grubbs M.d. NPPES

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

JAMES AARON GRUBBS M.D. (NPI 1538327481) is an individual infectious disease provider in Augusta, Georgia, licensed in Georgia (96336) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1538327481

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameJAMES AARON GRUBBSCredential: M.D.

Location Address1120 15TH STAugusta, GA 30912-4053

Mailing Address1120 15th St # Or6000Augusta, GA 30912-0004 · (706) 721-3813

Phone(706) 721-8623

Fax(706) 721-1459

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2008

Enumeration DateMay 28, 2008

Last NPPES UpdateAugust 8, 20235 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1538327481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Licenses✔ Licensed in GA · 96336✔ Licensed in SC · 34292✔ Licensed in KY · TP652

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedPediatricsTaxonomy 208000000X · License 29910 (AL), 34292 (SC)

Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X · License TP652 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1120 15TH ST, Augusta, GA 30912

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Secondary Practice Locations 3

Location 1115 N Sumter St Ste 315Sumter, SC 29150-4967 · Phone (803) 774-9787 · Fax (803) 774-9781

Location 2740 S Limestone, Ste D135, Ste L504Lexington, KY 40536-4053 · Phone (859) 323-5544

Location 31 Richland Medical Park Dr, Suite 420Columbia, SC 29203-6834 · Phone (803) 545-5350 · Fax (803) 545-5353

Other Identifiers 3

Medicaid137020AL

Medicaid137144AL

Medicaid342926SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Aaron Grubbs M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062677529

PECOS Enrollment IDI20230803003356

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

228 services129 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

40 services27 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110034

Location1120 15th StreetAugusta, GA 30912 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.04

Promoting Interoperability

Improvement Activities

Cost

60.7

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.

DR. TOYA HESTER KELLEY MD

Family Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-3157

DR. JACK BRADLEY ELLIS D.O.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

SAMI MOHAMMED ALSHEHRY

Student in an Organized Health Care Education/Training Program

1120 15TH ST, 1065
AUGUSTA, GA 30912

Richmond County (706) 721-2411

LUIS ALBERTO VELASQUEZ ZARATE M.D

Pathology (Anatomic Pathology & Clinical Pathology)

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-2771

DR. BRYAN RICHARD BROACH M.D.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

JANELLE MCGILL M.D.

Pediatrics

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

DR. KAYLA ASHLEY SHAHBAZIAN DO

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

ROSA MARIA LOPEZ RINCON

Anesthesiology

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 446-5836

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 James Grubbs's NPI number?

The NPI number for James Grubbs is 1538327481. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is James Grubbs located?

James Grubbs practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is James Grubbs's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Grubbs enrolled in Medicare?

Yes. James Grubbs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Grubbs accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan and Ambetter from Home State Health and 4 other insurers list James Grubbs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Grubbs affiliated with any hospitals?

According to CMS data, James Grubbs is affiliated with Piedmont Augusta Hospital and Au Medical Center.

When was this NPI record last updated?

The NPPES record for James Grubbs was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.