Kimberly Anne Griffin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2396 Issued in GA

Practice address

2100 S Hamilton St
Dalton, GA 30720-5349

Phone

(706) 272-1415

Fax

(706) 272-1422

NPI assigned

Jul 19, 2006

Last updated

Jun 3, 2022By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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.

• Evernorth Direct Health LLC

  • Clinic/Center
  • Dalton, GA
  • NPI 1336844679
  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1356361034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 RIO VISTA DR",
            "address_2": "P.O.BOX 2025",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205147",
            "telephone_number": "706-271-6974",
            "fax_number": "706-876-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S HAMILTON ST",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205349",
            "telephone_number": "706-272-1415",
            "fax_number": "706-272-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "2396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Brooke Greeson, PT, DPT
• Elizabeth Nicole Gregory, M.ED., BCBA
• James Gregory, M. D.
• Ankarjit Kaur Grewal
• David Shayne Griffin, RPH
• Samantha Griffin
• Charity Kathleen Griffith, FNP
• Griggs Family Healthcare, LLC (Griggs Family Healthcare)
• Griggs Family Practice, LLC (Griggs Family Practice)
• Lisa Irene Griggs, M.D.

• Medical Physician Assistant in Dalton, GA
• Providers in Dalton, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.