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

Jade Rene Grimes

Individual provider Occupational Therapist · NPI 1144997651

Jade Rene Grimes is an Occupational Therapist in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

126 Pavilion Pkwy
Fayetteville, GA 30214-4056
Phone: (770) 954-8988
Fax: (404) 393-2447
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT008151 (GA)

Record details

NPI number1144997651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 24, 2021
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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