Individual provider Active NPI

Donald Neal Griffis Jr., FNP-C

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1346668407
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN203059 Issued in GA
Practice address
218 Quarterman St
Waycross, GA 31501-3547
Phone
(912) 287-9140
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN203059 GA Primary

Addresses

Primary practice location

218 Quarterman St
Waycross, GA 31501-3547

Mailing address

2458 Lejuene Rd
Waycross, GA 31501-7642
Phone (912) 286-2697

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
I20150410001151 GA Practitioner - Nurse Practitioner 9133447725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKinney Medical Center IncGroup PAC ID 3173432226, 13 clinicians

Practice addresses (Care Compare)

218 Quarterman St
Waycross, GA 31501-3547
Phone (912) 287-0301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN203059GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKinney Medical Center Inc CurrentSince Sep 30, 2014 Accepting new patients
McKinney Medical Center Inc CurrentSince Sep 30, 2014 Accepting new patients
Trimed Advance Health, LLC CurrentSince Jan 1, 2019 Accepting new patients
McKinney Community Health Ctr, Inc Past Accepting new patients

Locations

501 N Pierce St
Alma, GA 31510
Phone (912) 632-0872

623 Sycamore St
Blackshear, GA 31516
Phone (912) 449-3294

3913 Main St
Folkston, GA 31537
Phone (912) 496-0826

3919 Main St
Folkston, GA 31537
Phone (912) 496-3426

711 Charles Gilman Jr Ave
Ste B
Kingsland, GA 31548
Phone (912) 510-9728

9355 Main St S
Nahunta, GA 31553
Phone (912) 462-6222

218 Quarterman St
Waycross, GA 31501
Phone (912) 287-0301

300 Uvalda St
Waycross, GA 31501
Phone (912) 287-0360

935 McDonald St
Waycross, GA 31501
Phone (912) 285-5080

2015 Alice St
Waycross, GA 31501
Phone (912) 283-2120

Interoperability endpoints

  • Direct secure messaging: donald.griffis@mmcga.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/18622/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1346668407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 LEJUENE RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017642",
            "telephone_number": "912-286-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 QUARTERMAN ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013547",
            "telephone_number": "912-287-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIS",
        "first_name": "DONALD",
        "middle_name": "NEAL",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.