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

Mr. Michael Dana Grimes

Individual provider Physician Assistant · NPI 1396815015

Mr. Michael Dana Grimes is a Physician Assistant in Huntington, West Virginia. Qualified in 2001, 25 years ago. Practices with St Mary's Medical Management, LLC, a 91-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
25
Licensed in
WV
In the registry since
2006
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Practice location Address checks out

2828 1st Ave Ste 400
Huntington, WV 25702-1236
Phone: (304) 525-6905
Fax: (304) 525-4316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 905 (WV)

Record details

NPI number1396815015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 9, 2006
Last updated in NPPESMarch 7, 2023
Certification dateDecember 5, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice St. Mary'S Medical Management, Llc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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