Individual provider Active NPI

Jennifer Apple Griffin, MSN,APRN,BC,ANP,GNP

  • Adult Health Nurse Practitioner
  • Reidsville, NC
National Provider Identifier
1073602348
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0050-00502 Issued in NC
Practice address
520 Maple Ave
Suite C
Reidsville, NC 27320-4652
Phone
(336) 342-6063
Fax
(336) 342-6066
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0050-00502 NC Primary
Gerontology Nurse Practitioner 363LG0600X 0050-00502 NC

Addresses

Primary practice location

520 Maple Ave
Suite C
Reidsville, NC 27320-4652

Mailing address

520 Maple Ave
Suite C
Reidsville, NC 27320-4652
Phone (336) 342-6063

Other identifiers 2

IdentifierTypeStateIssuer
170C1OtherBCBS
1073602348MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgriffin18717@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050929000717 NC Practitioner - Nurse Practitioner 6305871252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

520 Maple Ave
Suite C
Reidsville, NC 27320-4600
Phone (336) 342-6063

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0050-00502NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services, Inc CurrentSince Oct 1, 2018 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Mar 20, 2020 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Oct 1, 2018 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Mar 20, 2020 Accepting new patients
Family Tree OB GYN, PA Adult Health Past Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1806 E Market St
Ste 102
Greensboro, NC 27401
Phone (336) 890-5160

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

520 Maple Ave
Ste C
Reidsville, NC 27320
Phone (336) 342-6063

Interoperability endpoints

  • Direct secure messaging: jgriffin18717@direct.conehealth.com

Organizations & group practices 7

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1073602348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "SUITE C",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273204652",
            "telephone_number": "336-342-6063",
            "fax_number": "336-342-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "SUITE C",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273204652",
            "telephone_number": "336-342-6063",
            "fax_number": "336-342-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JENNIFER",
        "middle_name": "APPLE",
        "name_prefix": "Mrs.",
        "credential": "MSN,APRN,BC,ANP,GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "0050-00502",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "0050-00502",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "170C1",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073602348",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgriffin18717@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 Maple Ave",
            "address_2": "SUITE C",
            "city": "Reidsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273204652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.