Nicole Antoinette Griffin

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

0030055145 Issued in GA

Practice address

613 Roselane St NW
Marietta, GA 30060-6940

Phone

(770) 792-9800

NPI assigned

Jun 5, 2023

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

State licenses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1396439402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 EZRA CHURCH DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303142137",
            "telephone_number": "404-205-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ROSELANE ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606940",
            "telephone_number": "770-792-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "NICOLE",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "0030055145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn A. Grice, MD
• Angelica Vanessa Gridley
• Greg Griffin, M.A., REV.
• Khadijah Griffin
• Nia Griffin
• Steven Michael Griffin, PT, DPT
• Alexis Griffith
• Richard L Griffith, MD
• Kadria Griffiths-Scott, DC
• James Griggers

• Home Health Aide in Marietta, GA
• Providers in Marietta, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.