Active NPI
Brandon Lebron Griggs, NP
- Nurse Practitioner
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN253827
- Practice address
- 775 Poplar Rd Ste 130
Newnan, GA 30265-8307 - Phone
- (770) 683-6291
- NPI assigned
- Feb 2, 2016
- Last updated
- Jul 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NCO-000003 | GA | |
| Nurse Practitioner | 363L00000X | RN253827 | GA | Primary |
Addresses
Primary practice location
775 Poplar Rd Ste 130
Newnan, GA 30265-8307
Mailing address
PO Box 102321
Atlanta, GA 30368-2321
Other practice location 1
460 Northside Cherokee Blvd
Canton, GA 30115-8016
Phone (678) 493-2527
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cherokeelungandsleep@757.direct.myezyaccess.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NCO-000003 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Piedmont Providers LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Piedmont Specialty Hospital Billing LLC | Current | Accepting new patients |
Locations
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
275 Collier Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 350-0009
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
55 Whitcher St NE
Ste 160
Marietta, GA 30060
Phone (770) 590-4180
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
775 Poplar Rd
Ste 130
Newnan, GA 30265
Phone (770) 683-6291
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba WellStar Intensivists
- Critical Care Medicine (Internal Medicine) Physician
- Marietta, GA
- NPI 1669817995
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Paulding Hospital
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1083072367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102321",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 POPLAR RD STE 130",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658307",
"telephone_number": "770-683-6291"
}
],
"practiceLocations": [
{
"address_1": "460 Northside Cherokee Blvd",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301158016",
"country_code": "US",
"telephone_number": "678-493-2527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIGGS",
"first_name": "BRANDON",
"middle_name": "LEBRON",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-02",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "NCO-000003",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN253827",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cherokeelungandsleep@757.direct.myezyaccess.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "460 Northside Cherokee Blvd",
"city": "Canton",
"state": "GA",
"country_code": "US",
"postal_code": "301158016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.