Individual provider Active NPI

Stephanie K Griffin, C.R.N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Fort Payne, AL
National Provider Identifier
1497841977
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1071430 Issued in AL
Practice address
323 Medical Center Dr. S.W.
Fort Payne, AL 35968-3420
Phone
(256) 997-9016
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1071430 AL Primary

Addresses

Primary practice location

323 Medical Center Dr. S.W.
Fort Payne, AL 35968-3420

Mailing address

7605 County Road 47
Rainsville, AL 35986
Phone (256) 657-6335

Other identifiers 2

IdentifierTypeStateIssuer
51501391OtherALBCBS OF AL
891002050MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110112000318 AL Practitioner - Nurse Practitioner 7911196639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Professional ServicesGroup PAC ID 0648666198, 20 clinicians

Practice addresses (Care Compare)

408 Taylor St
Scottsboro, AL 35768-2424
Phone (256) 259-5211

Hospital & facility affiliations

  • Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsboro OB GYN Specialists LLC Current Accepting new patients
Highlands Professional Services CurrentSince Feb 1, 2022 Accepting new patients

Locations

408 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5211

Interoperability endpoints

  • Direct secure messaging: stephanie.griffin.1@29332.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1497841977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 COUNTY ROAD 47",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "35986",
            "telephone_number": "256-657-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MEDICAL CENTER DR. S.W.",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683420",
            "telephone_number": "256-997-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AL",
            "license": "1071430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51501391",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891002050",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.