Griffin Family Medical Clinic PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R851997 Issued in MS

Legal business name

GRIFFIN FAMILY MEDICAL CLINIC PA

Practice address

507 Highway 80
Pelahatchie, MS 39145-2786

Phone

(601) 854-8002

Fax

(601) 854-7333

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Mary Ann Griffin, CFNPNPI 1518194265

Title

Owner/Provider

Phone

(601) 854-8002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ann Griffin

  • Family Nurse Practitioner
  • Pelahatchie, MS
  • NPI 1518194265
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1437514262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 926",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "391450926",
            "telephone_number": "601-854-8002",
            "fax_number": "601-854-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HIGHWAY 80",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "391452786",
            "telephone_number": "601-854-8002",
            "fax_number": "601-854-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN FAMILY MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "601-854-8002",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R851997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna Posey Davis, RN
• Christy Scafidel Emerson, LCMHT
• Erin Irby Fairley, LCSW
• Family Health Care Clinic, Inc.
• Friends of Mississippi Dentistry
• Mary Ann Griffin
• Charles D Guess, MD
• Kathy Hill, NP
• Amanda L Jackson, PHARMD
• Courtney Kameron

• Family Nurse Practitioner in Pelahatchie, MS
• Providers in Pelahatchie, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.