Active NPI
Phyoncia M Griffin, CNA
- Home Health Aide
- Loganville, GA
National Provider Identifier
1104489640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- CN0030012917
- Practice address
- 3190 Summit Place Dr
Loganville, GA 30052-5353 - Phone
- (404) 507-4786
- Fax
- (404) 541-3216
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | CN0030012917 | GA | Primary |
Addresses
Primary practice location
3190 Summit Place Dr
Loganville, GA 30052-5353
Mailing address
3190 Summit Place Dr
Loganville, GA 30052-5353
Phone (404) 507-4786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CN0030012917 | GA | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Always There Private Care LLC. | Single Specialty | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1104489640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3190 SUMMIT PLACE DR",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300525353",
"telephone_number": "404-507-4786",
"fax_number": "404-541-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 SUMMIT PLACE DR",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300525353",
"telephone_number": "404-507-4786",
"fax_number": "404-541-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "PHYONCIA",
"middle_name": "M",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "GA",
"license": "CN0030012917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.