Randy Allen Griffis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO 08119 Issued in GA

Practice address

409 Northside Dr
Valdosta, GA 31602-1801

Phone

(229) 242-3042

Fax

(229) 242-7035

NPI assigned

Dec 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mink Chiropractic Center, LLCGroup PAC ID 2365545266, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mink Chiropractic Center, LLC

  • Chiropractor
  • Valdosta, GA
  • NPI 1699825752
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336203306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 NORTHSIDE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021801",
            "telephone_number": "229-242-3042",
            "fax_number": "229-242-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NORTHSIDE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021801",
            "telephone_number": "229-242-3042",
            "fax_number": "229-242-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIS",
        "first_name": "RANDY",
        "middle_name": "ALLEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO 08119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory E. Pye, PH.D, PC
• Shelley Smith Greneker, LMFT
• Nia Grier
• Chase Thomas Griffin, MD
• Elaine D. Griffin, P.T.
• Gina T Grimes, ED.S., CCC-SLP
• Brian C Griner, M.D.
• Jason L Griner, LCSW
• Taylor Griner, RBT
• Alyssa Grissom

• Chiropractor in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.