Individual provider Active NPI

Lisa Irene Griggs, M.D.

  • Family Medicine Physician
  • Dalton, GA
National Provider Identifier
1073563250
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38669 Issued in TN
Practice address
902 Clark St
Dalton, GA 30720-8721
Phone
(706) 529-3245
Fax
(706) 272-6077
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 056715 GA
Family Medicine Physician 207Q00000X MD447136 PA
Family Medicine Physician 207Q00000X 38669 TN Primary

Addresses

Primary practice location

902 Clark St
Dalton, GA 30720-8721

Mailing address

902 Clark St
Dalton, GA 30720-8721
Phone (706) 980-7238

Other identifiers 1

IdentifierTypeStateIssuer
003110832MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38669TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Primary Care Group LLC Family Medicine PastSince Apr 1, 2008 Accepting new patients
Premise Health of Ohio Medical, P.a Family Medicine Past Accepting new patients
San Pablo Clinic, LLC Past Accepting new patients
Dalton Cardiology, P.C. Past Accepting new patients
Griggs Family Healthcare, LLC Family Medicine PastSince May 1, 2006 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073563250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CLARK ST",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208721",
            "telephone_number": "706-980-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CLARK ST",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208721",
            "telephone_number": "706-529-3245",
            "fax_number": "706-272-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "LISA",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "056715",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD447136",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "38669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003110832",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.