NPI

Clay Grimes

NPI 1245636471

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
AG-ACNP
Type
Individual
Enumeration date
2014-11-17
Last updated
2023-04-18

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Specialties

Licenses

License FL
ARNP9349258
License FL
APRN9349258

Location

Practice location
564 Redberry Ln
City
Saint Johns FL
Postal code
32259-4807
Phone
(904) 806-8262

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Saint Johns, FL. 367 records in the public file.

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