Individual provider Active NPI

Sabrina Griffin, FNP-C

  • Family Nurse Practitioner
  • Moultrie, GA
National Provider Identifier
1083258776
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN208990 Issued in GA
Practice address
143 US Highway 319 S Ste 1
Moultrie, GA 31768-7991
Phone
(229) 217-0523
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN208990 GA Primary

Addresses

Primary practice location

143 US Highway 319 S Ste 1
Moultrie, GA 31768-7991

Mailing address

143 US Highway 319 S Ste 1
Moultrie, GA 31768-7991
Phone (229) 217-0523

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826002500 GA Practitioner - Nurse Practitioner 8022435742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Chula, GA 31733
Phone (229) 520-3052

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Eternal Faith Hospice and Palliative Care Hospice, Chula, GA, CCN 851504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN208990GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Selym & Associates LLC CurrentSince Aug 1, 2024 Accepting new patients
Homestead Hospice of South Georgia, LLC CurrentSince Jul 25, 2022 Accepting new patients
Homestead Hospice of South Georgia, LLC PastSince Feb 19, 2023 Accepting new patients
Homestead Hospice of Central Georgia, LLC Past Accepting new patients

Locations

2822 Nottingham Way
Ste 3
Albany, GA 31707
Phone (229) 304-5261

2822 Nottingham Way
Ste 4
Albany, GA 31707
Phone (229) 304-5261

514 W Oglethorpe Blvd
Albany, GA 31701
Phone (205) 304-1506

126 S Access Rd
Chula, GA 31733
Phone (229) 520-3052

1101 Hillcrest Pkwy
Ste L
Dublin, GA 31021
Phone (478) 205-5227

110 10th St E
Ste A
Tifton, GA 31794
Phone (229) 520-3052

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.

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1083258776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 US HIGHWAY 319 S STE 1",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317687991",
            "telephone_number": "229-217-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 US HIGHWAY 319 S STE 1",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317687991",
            "telephone_number": "229-217-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "SABRINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN208990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.