Kellye Grimes, PA
Kellye Grimes, PA is a Medical Physician Assistant in Midlothian, TX, registered under NPI 1083037758.
Getting there
The practice address on file is 4430 E HIGHWAY 287 STE 100, Midlothian, TX 76065. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PA08921 | TX | Medical Physician Assistant primary |
This provider holds licence PA08921 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 3375776917
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Medical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363AM0700X | Medical Physician Assistant Medical | PA08921 | TX | primary |
| 363AM0700X | Medical Physician Assistant Medical | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1083037758 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 30, 2014 |
| Last updated | Jul 25, 2022 |
| Status | Active |
| Sole proprietor | No |
| Credential | PA |
| Practice address |
4430 E HIGHWAY 287 STE 100 Midlothian, TX 76065 (972) 723-5590 Fax (972) 723-5592 |
| Mailing address |
2665 SCRIPTURE ST Denton, TX 76201 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 8 | 3 | 0 | 3 | 7 | 7 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 7 | 3 | 0 | 3 | 5 | 7 | 1 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.