Individual provider Active NPI

Shelley A Griffin, M.D.

  • Pediatrics Physician
  • Waynesboro, GA
National Provider Identifier
1336182203
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
16238 Issued in GA
Practice address
305 Jones Ave
Waynesboro, GA 30830-1510
Phone
(706) 554-5147
Fax
(706) 554-6111
NPI assigned
Jun 14, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 16238 GA Primary
Pediatric Adolescent Medicine Physician 2080A0000X 16238 GA

Addresses

Primary practice location

305 Jones Ave
Waynesboro, GA 30830-1510

Mailing address

305 Jones Ave
Waynesboro, GA 30830-1510
Phone (706) 554-5147

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000592 GA Practitioner - Pediatric MedicinePractitioner - Family Practice 5294643821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16238ALMDPharmacist
16238GAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists CurrentSince Oct 3, 2006 Accepting new patients
Medical Specialists, Inc CurrentSince Apr 30, 1979 Accepting new patients

Locations

305 Jones Ave
Waynesboro, GA 30830
Phone (706) 554-5147

406 E Broad St
Wrens, GA 30833
Phone (706) 547-7008

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medical AssociatesWaynesboro, GA, CCN 113886 Rural health clinic 5% Or Greater Direct Ownership Interest (16.67%)
Corporate Officer
Corporate Director
Apr 30, 1979
Apr 30, 1979
Apr 30, 1979
North Jefferson Medical CenterWrens, GA, CCN 113882 Rural health clinic 5% Or Greater Direct Ownership Interest (16.67%)
Corporate Officer (14%)
W-2 Managing Employee
Jul 1, 2006
Jul 1, 2006
Jul 1, 2006

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1336182203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 JONES AVE",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308301510",
            "telephone_number": "706-554-5147",
            "fax_number": "706-554-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 JONES AVE",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308301510",
            "telephone_number": "706-554-5147",
            "fax_number": "706-554-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "16238",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "16238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, GA

Sources for this page

Verify at the official NPI Registry.