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

Individual provider Physician Assistant · NPI 1003607045

Jennifer Grimm, PA-C is a Physician Assistant in Marietta, Georgia. Qualified in 2021, 5 years ago. Registered with an NPI since 2025.

Years since qualifying
5
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

340 Kennestone Hospital Blvd Ste 100
Marietta, GA 30060-1158
Phone: (770) 402-6438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1003607045
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 16, 2025
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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