Individual provider Active NPI

Katrina Elizabeth Grablin, P.A-C

  • Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1093938250
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5837 Issued in GA
Practice address
13081 Highway 9 N
Alpharetta, GA 30004-5150
Phone
(770) 521-6690
NPI assigned
Apr 10, 2007
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 5837 GA Primary

Addresses

Primary practice location

13081 Highway 9 N
Alpharetta, GA 30004-5150

Mailing address

6665 Will Allen Rd
Cumming, GA 30040-6559
Phone (229) 603-1683

Other practice location 1

2620 Tenderfoot Hill St
Ste 200
Colorado Springs, CO 80906-8356
Phone (719) 632-0324

Other practice location 2

2767 Janitell Rd
Colorado Springs, CO 80906-4102
Phone (719) 365-2888

Other practice location 3

3720 Sinton Rd Ste 130
Colorado Springs, CO 80907-5085
Phone (719) 270-0805

Other identifiers 1

IdentifierTypeStateIssuer
11539330MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070627000693 CO Practitioner - Physician Assistant 8022116680 Reassigns benefits to 2 organizations
I20101018000219 GA Practitioner - Physician Assistant 8022116680 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crisp Regional Hospital, Inc CurrentSince May 13, 2025 Accepting new patients
Crisp Regional Hospital Inc CurrentSince May 13, 2025 Accepting new patients
True North Health Navigation LLC CurrentSince May 1, 2020 Accepting new patients
Associates in Women's Care, P.C. Past Accepting new patients
Front Range Emergency Specialists, PC Past Accepting new patients
Integrity Urgent Care, P.C. Past Accepting new patients

Locations

5825 Delmonico Dr
Ste 101
Colorado Springs, CO 80919
Phone (706) 315-2523

1106 N 4th St
Cordele, GA 31015
Phone (229) 273-1227

1329 N 5th Street Ext
Cordele, GA 31015
Phone (229) 273-6939

307 E 3rd Ave
Cordele, GA 31015
Phone (229) 271-4612

902 Blackshear Rd
Cordele, GA 31015
Phone (229) 271-9686

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1093938250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6665 WILL ALLEN RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406559",
            "telephone_number": "229-603-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13081 HIGHWAY 9 N",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045150",
            "telephone_number": "770-521-6690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 TENDERFOOT HILL ST",
            "address_2": "STE 200",
            "address_purpose": "LOCATION",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068356",
            "country_code": "US",
            "telephone_number": "719-632-0324",
            "fax_number": "719-632-0326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2767 Janitell Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064102",
            "country_code": "US",
            "telephone_number": "719-365-2888",
            "fax_number": "719-365-1577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3720 Sinton Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809075085",
            "country_code": "US",
            "telephone_number": "719-270-0805",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABLIN",
        "first_name": "KATRINA",
        "middle_name": "ELIZABETH",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11539330",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.