Active NPI
Shannon Griggs-Miller, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5019091
- Practice address
- 801 Clanton Rd
Charlotte, NC 28217-1372 - Phone
- (704) 840-6088
- NPI assigned
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5019091 | NC | Primary |
Addresses
Primary practice location
801 Clanton Rd
Charlotte, NC 28217-1372
Mailing address
4412 Park Rd
Charlotte, NC 28209-3130
Other practice location 1
714 S Main St
Salisbury, NC 28144-5412
Phone (866) 495-3651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3111 Springbank LN
Suite 1
Charlotte, NC 28226-3372
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S&H Youth and Adult Services, Inc. | Current | Accepting new patients | |
| Thriveworks Clinical - North Carolina PC | Current | Accepting new patients |
Locations
119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112
3111 Springbank Ln
Ste 1
Charlotte, NC 28226
4412 Park Rd
Charlotte, NC 28209
Phone (855) 675-4144
714 S Main St
Salisbury, NC 28144
Phone (704) 603-8285
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1003303082
-
- Community/Behavioral Health Agency
- Salisbury, NC
- NPI 1013117720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1386416303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4412 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CLANTON RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171372",
"telephone_number": "704-840-6088"
}
],
"practiceLocations": [
{
"address_1": "714 S Main St",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281445412",
"country_code": "US",
"telephone_number": "866-495-3651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIGGS-MILLER",
"first_name": "SHANNON",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-24",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5019091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.