Individual provider Active NPI

Christan Michele Griffin, NP

  • Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1053988691
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN170055 Issued in GA
Practice address
1825 Highway 34 E Ste 3000
Newnan, GA 30265-6430
Phone
(770) 252-6767
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Registered Nurse 163WS0121X RN170055 GA
Nurse Practitioner 363L00000X RN170055 GA Primary

Addresses

Primary practice location

1825 Highway 34 E Ste 3000
Newnan, GA 30265-6430

Mailing address

105 Corran CT
Peachtree City, GA 30269-2424

Other practice location 1

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719003028 GA Practitioner - Nurse Practitioner 6800299538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

1279 Hwy 54 W
Suite 100
Fayetteville, GA 30214
Phone (770) 719-5710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN170055GAMDPlastic Surgery Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation CurrentSince Apr 18, 2022 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Jun 21, 2021 Accepting new patients
Piedmont Providers LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

1279 Highway 54 W
Ste 100
Fayetteville, GA 30214
Phone (770) 460-8988

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1825 Highway 34 E
Ste 3000
Newnan, GA 30265
Phone (770) 252-6767

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1053988691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CORRAN CT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 HIGHWAY 34 E STE 3000",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656430",
            "telephone_number": "770-252-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Celebrate Life Pkwy",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658001",
            "country_code": "US",
            "telephone_number": "770-400-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "CHRISTAN",
        "middle_name": "MICHELE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "GA",
            "license": "RN170055",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN170055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.