Active NPI
Mary Ann Griffin
- Family Nurse Practitioner
- Pelahatchie, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R851997
- Practice address
- 507 Highway 80
Pelahatchie, MS 39145-2786 - Phone
- (601) 854-8002
- Fax
- (601) 854-7333
- NPI assigned
- Jun 19, 2009
- Last updated
- Apr 26, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R851997 | MS | Primary |
Addresses
Primary practice location
507 Highway 80
Pelahatchie, MS 39145-2786
Mailing address
507 Highway 80
Pelahatchie, MS 39145-2786
Phone (601) 854-8002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R851997 | Other | MS | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
507 Hwy 80
Pelahatchie, MS 39145-2786
Phone (601) 854-8002
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quitman Community Hospital | Current | Accepting new patients | |
| Coffee County Physician Group PC | Current | Accepting new patients | |
| Griffin Family Medical Clinic PA | Family | Current | Accepting new patients |
| Quitman Community Hospital | Current | Accepting new patients |
Locations
303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155
340 Getwell St
Marks, MS 38646
Phone (662) 326-8031
507 Second St
Pelahatchie, MS 39145
Phone (601) 854-8002
Interoperability endpoints
- griffinfamilymedicalclinic.maryanngriffin@132152.advancedmd-direct.com
- https://fhir.yourcareuniverse.net/tenant/f327cec7-4de5-4375-82d1-b7722f053133
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Pelahatchie, MS
- NPI 1437514262
-
- Critical Access Hospital
- Marks, MS
- NPI 1063177228
-
dba Quitman Community Senior Care
- Psychiatric Hospital Unit
- Marks, MS
- NPI 1841055308
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Flowood, MS
- NPI 1417935578
-
dba S E Lackey Memorial Hospital
- Critical Access Hospital
- Forest, MS
- NPI 1306909734
-
dba Mississippi HomeCare / Jackson
- Home Health Agency
- Jackson, MS
- NPI 1730373275
-
- Critical Access Hospital
- Marks, MS
- NPI 1063177228
-
dba Ochsner Scott Regional
- Critical Access Hospital
- Morton, MS
- NPI 1134278435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1518194265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"last_name": "GRIFFIN",
"first_name": "MARY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-19",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R851997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "R851997",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pelahatchie, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.