Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deanne R Grim, PA

Individual provider Physician Assistant · NPI 1245271642

Deanne R Grim, PA is a Physician Assistant in Summersville, West Virginia. Qualified in 2002, 24 years ago. Practices with West Virginia Health Care Cooperative Inc, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
24
Licensed in
WV
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4089 Webster Rd
Summersville, WV 26651
Phone: (304) 872-0111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Fairview Heights Rd, Summersville, WV 26651-9308 — (304) 872-2891

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 01180 (WV)

Record details

NPI number1245271642
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice West Virginia Health Care Cooperative Inc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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