Active NPI
Lisa Irene Griggs, M.D.
- Family Medicine Physician
- Dalton, GA
National Provider Identifier
1073563250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38669
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003110832 | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38669 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Georgia Primary Care Group LLC | Family Medicine | Past | 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 | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Dalton, GA
- NPI 1023056686
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1669491619
-
- Family Medicine Physician
- Ringgold, GA
- NPI 1689616237
-
- Primary Care Clinic/Center
- Dalton, GA
- NPI 1689078842
-
- Family Medicine Physician
- Pigeon Forge, TN
- NPI 1942346275
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.