Individual provider Active NPI

Rheannah Griffin, PA-C

  • Physician Assistant
  • Hermitage, TN
National Provider Identifier
1558054262
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5541 Issued in TN
Practice address
5653 Frist Blvd Ste 738
Hermitage, TN 37076-2066
Phone
(615) 320-0007
Fax
(615) 383-6329
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5541 TN Primary
Surgical Physician Assistant 363AS0400X 5541 TN

Addresses

Primary practice location

5653 Frist Blvd Ste 738
Hermitage, TN 37076-2066

Mailing address

PO Box 210127
Nashville, TN 37221-0127
Phone (615) 383-2443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230606002025 TN Practitioner - Physician Assistant 1951768993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical AssociatesGroup PAC ID 8022099142, 27 clinicians

Practice addresses (Care Compare)

2400 Patterson St
Suite 319
Nashville, TN 37203-1566
Phone 6159861256118

Hospital & facility affiliations

  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates Physician Assistant CurrentSince Mar 12, 2024 Accepting new patients
Advanced Diagnostic Imaging, PC Physician Assistant Past Accepting new patients

Locations

5653 Frist Blvd
Ste 738
Hermitage, TN 37076
Phone (615) 320-0007

2400 Patterson St
Ste 319
Nashville, TN 37203

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 2

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1558054262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210127",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372210127",
            "telephone_number": "615-383-2443",
            "fax_number": "615-383-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD STE 738",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762066",
            "telephone_number": "615-320-0007",
            "fax_number": "615-383-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "RHEANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5541",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "5541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.