Individual provider Active NPI

Jacqueline L Griffin, FNP-C

  • Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1114583630
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024177784 Issued in VA
Practice address
3001 Jefferson Ave
Newport News, VA 23607-3401
Phone
(757) 330-5846
Fax
(877) 975-7837
NPI assigned
May 10, 2019
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024177784 VA Primary
Family Nurse Practitioner 363LF0000X 5020110 NC
Registered Nurse 163W00000X 0001199727 VA

Addresses

Primary practice location

3001 Jefferson Ave
Newport News, VA 23607-3401

Mailing address

3001 Jefferson Ave
Newport News, VA 23607-3401
Phone (757) 330-5846

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacqueline.griffin.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20211228002009 VA Practitioner - Nurse Practitioner 0244621340 Reassigns benefits to 3 organizations
I20240821003500 NC Practitioner - Nurse Practitioner 0244621340 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians
Lifesource Prime IncGroup PAC ID 7810336385, 52 clinicians

Practice addresses (Care Compare)

3001 Jefferson Ave
Newport News, VA 23607-3401
Phone (757) 330-5846

3205 Randall Pkwy
Suite 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001199727VAMDRegistered Nurse
5020110NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Dec 15, 2021 Accepting new patients
Universal Health Corporation CurrentSince May 28, 2024 Accepting new patients
Centerwell Senior Primary Care VA PLLC CurrentSince Dec 1, 2025 Accepting new patients
Lifesource Prime Inc CurrentSince Jul 13, 2025 Accepting new patients
Centerwell Senior Primary Care VA PLLC Current Accepting new patients
Centerwell Senior Primary Care VA PLLC CurrentSince Dec 1, 2025 Accepting new patients
Lifesource Prime Inc CurrentSince Jul 13, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 4, 2025 Accepting new patients
Lifesource of North Carolina Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Lifesource of North Carolina Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 15, 2021 Accepting new patients
Centerwell Senior Primary Care VA PLLC Past Accepting new patients
Arnot Medical Services PLLC Past Accepting new patients

Locations

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

1987 Hilton Rd
Burlington, NC 27217
Phone (336) 226-0848

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

1118 W Mercury Blvd
Hampton, VA 23666
Phone (757) 276-9526

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

3001 Jefferson Ave
Newport News, VA 23607
Phone (757) 330-5846

7525 Tidewater Dr
Ste 19
Norfolk, VA 23505
Phone (757) 330-0150

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Interoperability endpoints

  • Direct secure messaging: jacqueline.griffin.1@29601.direct.athenahealth.com
  • Direct secure messaging: jacqueline.griffin@direct.lifesource.nchie.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1114583630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 JEFFERSON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236073401",
            "telephone_number": "757-330-5846",
            "fax_number": "877-975-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 JEFFERSON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236073401",
            "telephone_number": "757-330-5846",
            "fax_number": "877-975-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JACQUELINE",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177784",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020110",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001199727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacqueline.griffin.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3001 Jefferson Ave",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236073401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.