Individual provider Active NPI

Rachel Griffin, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1073951406
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04286 Issued in NC
Practice address
11009 Ingleside PL Ste 201
Raleigh, NC 27614-6697
Phone
(919) 844-4344
Fax
(919) 844-3244
NPI assigned
Jun 7, 2013
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-04286 NC Primary

Addresses

Primary practice location

11009 Ingleside PL Ste 201
Raleigh, NC 27614-6697

Mailing address

2675 Winkler Ave Ste 201
Fort Myers, FL 33901-9328
Phone (877) 856-3774

Other practice location 1

100 Parkway Office Ct Ste 112
Cary, NC 27518
Phone (919) 378-2332

Other identifiers 1

IdentifierTypeStateIssuer
010-04286OtherNCNC MEDICAL LICENSE

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
I20131001000008 NC Practitioner - Physician Assistant 4789818964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group of NC, PLLCGroup PAC ID 2567593635, 27 clinicians

Practice addresses (Care Compare)

11009 Ingleside PL
Suite 201
Raleigh, NC 27614-6697
Phone (919) 844-4344

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-04286NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group of NC, PLLC CurrentSince Oct 27, 2025 Accepting new patients

Locations

4205 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 477-6900

5107 Southpark Dr
Ste 104
Durham, NC 27713
Phone (919) 477-6900

11009 Ingleside Pl
Ste 201
Raleigh, NC 27614
Phone (919) 844-4344

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2523/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rachel.griffin.1@27061.direct.athenahealth.com

Organizations & group practices 1

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

Hospital & facility affiliations 3

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": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1073951406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019328",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11009 INGLESIDE PL STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146697",
            "telephone_number": "919-844-4344",
            "fax_number": "919-844-3244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Parkway Office Ct Ste 112",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "27518",
            "country_code": "US",
            "telephone_number": "919-378-2332",
            "fax_number": "919-378-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "010-04286",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.