Active NPI 1952486920 Individual Practitioner Male Practitioner

Dr. Edwin W Grimsley , MD

Internal Medicine • Macon, GA

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Grimsley, MD is a registered healthcare professional specializing in Internal Medicine in Macon, GA. Practice services are available at 707 PINE STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

707 Pine Street

Macon, GA 31201

Telephone 4783015801

Fax 4783015812

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Macon, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.6 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

194 Specialists

Practicing in Macon, GA (4065 Statewide)

Telehealth Adoption Rate

7.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	18	$168.92	$62.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	11	$142.00	$75.61
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$139.00	$63.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	22	$142.00	$67.80
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$139.00	$62.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$398.00	$188.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	21	$142.00	$69.82
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$139.00	$65.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$398.00	$194.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	16	$142.00	$71.86
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$139.00	$50.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$207.00	$78.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$139.00	$50.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	14	$142.00	$62.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	61	$139.00	$50.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	16	$142.00	$70.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$207.00	$76.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	82	$139.00	$49.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	19	$142.00	$70.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$207.00	$76.22

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 030468

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00034304C (GA)

Commercial Insurance / Payer ID Railroad Medicare

P00034286 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners

Dr. Alice House , MD

Family Medicine

NPI 1043319650

Doctor of Medicine (M.D.)

Dr. John Winnie , MD

Family Medicine

NPI 1053353938

Doctor of Medicine (M.D.)

Glynnis Haley , NP-C

Nurse Practitioner - Family

NPI 1063585248

Nurse Practitioner (Certified)

Angela Polk , NP

Nurse Practitioner - Family

NPI 1083135271

Nurse Practitioner

Dr. Sadia Zahid , MD

Internal Medicine

NPI 1093968729

Doctor of Medicine (M.D.)

Dr. Douglas Farman , MD

Internal Medicine - Pulmonary Disease

NPI 1144310954

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 17, 2014

Registered at 707 PINE STREET, MACON, GA 31201 (Tel: 4783015801)

📍

Updated Business Mailing Address July 17, 2014

Registered at PO BOX 4947, MACON, GA 312084947 (Tel: 4783014111)

👤

Provider Name / Credentials Updated July 17, 2014

Recorded as EDWIN GRIMSLEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2014

Internal Medicine (License #030468 in GA)

🟢

Initial NPI Registration & Enumeration October 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952486920

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 26, 2006

Last Update: July 17, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4947

Macon, GA 312084947

Phone: 4783014111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.