Individual provider Active NPI

Jeri Denise Griggs, NP

  • Nurse Practitioner
  • Manteo, NC
National Provider Identifier
1285776260
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9401185 Issued in NC
Practice address
715 US Highway 64
Manteo, NC 27954-9241
Phone
(252) 473-2500
Fax
(252) 473-1222
NPI assigned
Feb 13, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9401185 NC Primary

Addresses

Primary practice location

715 US Highway 64
Manteo, NC 27954-9241

Mailing address

715 N Main Hwy 64
Manteo, NC 27954-9241
Phone (252) 473-2500

Other identifiers 1

IdentifierTypeStateIssuer
9401185OtherNCNC MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100415000925 NC Practitioner - Nurse Practitioner 2567599970 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc CurrentSince Feb 14, 2012 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Feb 14, 2012 Accepting new patients
Albemarle Physician Services - Sentara, Inc Current Accepting new patients
Island Medical Center Nurse Practitioner Past Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

715 US Highway 64
Manteo, NC 27954
Phone (252) 473-2500

Organizations & group practices 4

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285776260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N MAIN HWY 64",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549241",
            "telephone_number": "252-473-2500",
            "fax_number": "252-473-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 US HIGHWAY 64",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549241",
            "telephone_number": "252-473-2500",
            "fax_number": "252-473-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "JERI",
        "middle_name": "DENISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "9401185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL BOARD",
            "identifier": "9401185",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteo, NC

Sources for this page

Verify at the official NPI Registry.