Individual provider Active NPI

Ashley R Griggs, PA-C

  • Physician Assistant
  • Fort Valley, GA
National Provider Identifier
1184904757
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13374 Issued in GA
Practice address
201 Avera Dr
Fort Valley, GA 31030-5008
Phone
(478) 825-7000
Fax
(478) 633-5256
NPI assigned
Aug 26, 2011
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 13374 GA Primary

Addresses

Primary practice location

201 Avera Dr
Fort Valley, GA 31030-5008

Mailing address

201 Avera Dr
Fort Valley, GA 31030-5008
Phone (478) 825-7000

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
I20251015005031 GA Practitioner - Physician Assistant 3072000769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Avera Dr
Fort Valley, GA 31030-5008
Phone (478) 825-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Center of Peach County, Inc CurrentSince Oct 1, 2025 Accepting new patients
The Medical Center of Peach County, Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

201 Avera Dr
Fort Valley, GA 31030
Phone (478) 825-3317

701 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 825-0023

Interoperability endpoints

  • Direct secure messaging: agriggs3044232@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

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": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1184904757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AVERA DR",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310305008",
            "telephone_number": "478-825-7000",
            "fax_number": "478-633-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AVERA DR",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310305008",
            "telephone_number": "478-825-7000",
            "fax_number": "478-633-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "ASHLEY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Valley, GA

Sources for this page

Verify at the official NPI Registry.