Individual provider Active NPI

Brenda Kay Griffin, PMHNP

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1326419201
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN117393 Issued in GA
Practice address
340 Hospital Dr
Suite 370
Macon, GA 31217-3838
Phone
(478) 474-4343
Fax
(844) 213-0754
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN117393 GA
Nurse Practitioner 363L00000X RN117393 GA Primary

Addresses

Primary practice location

340 Hospital Dr
Suite 370
Macon, GA 31217-3838

Mailing address

340 Hospital Dr
Suite 370
Macon, GA 31217-3838
Phone (478) 474-4343

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
I20160114001642 GA Practitioner - Nurse Practitioner 3779886395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 253-6985

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-2183

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

350 Hospital Dr
Macon, GA 31217-3838
Phone (470) 788-1010

Hospital & facility affiliations

  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN117393GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Apr 22, 2023 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Apr 22, 2023 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Apr 22, 2023 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Jul 1, 2022 Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

Interoperability endpoints

  • Direct secure messaging: brenda.griffin@hca5.eclinicaldirectplus.com

Organizations & group practices 5

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.

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": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1326419201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HOSPITAL DR",
            "address_2": "SUITE 370",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173838",
            "telephone_number": "478-474-4343",
            "fax_number": "844-213-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HOSPITAL DR",
            "address_2": "SUITE 370",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173838",
            "telephone_number": "478-474-4343",
            "fax_number": "844-213-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN117393",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN117393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.