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

Johnathan Grimes

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174317093

Johnathan Grimes is a Student in an Organized Health Care Education/Training Program in Gainesville, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1075 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone: (770) 219-5407
Fax: (770) 219-8369
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174317093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 2, 2025
Mailing address743 Spring St Ne Ste 710, Gainesville, GA 30501-3715

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