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

Dr. James Richard Gramling, DNP, CRNP

Individual provider Nurse Practitioner · NPI 1366842015

Dr. James Richard Gramling, DNP, CRNP is a Nurse Practitioner in Birmingham, Alabama. Graduated from University of South Alabama College of Medicine in 2014, 12 years ago. Practices with Affinity Physician Services, LLC, a 93-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
12
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2014
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

5890 Valley Rd Ste 200
Birmingham, AL 35235-8669
Phone: (205) 655-7600
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-082096 (AL)

Record details

NPI number1366842015
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , CRNP
Sole proprietorNo
NPI enumeratedAugust 31, 2014
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Affinity Physician Services, Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients159
Services billed 644 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $1,763 97 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Affinity Physician Services, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 93 clinicians in the practice; 12 are shown here.

Other providers in Birmingham