Griffin OBGYN Clinic PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GRIFFIN OBGYN CLINIC PA

Practice address

503 S 8TH Street
Griffin, GA 30224-4211

Phone

(770) 227-5505

Fax

(770) 412-7881

NPI assigned

Jan 23, 2007

Last updated

Sep 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Taylor Chastain

Title

Office Manager

Phone

(770) 227-5505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13935/brand/1/csg/1/fhir/r4

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Loren Bland, FNP-C

  • Family Nurse Practitioner
  • Griffin, GA
  • NPI 1649468844
  Medicare reassignment NPD
• Katya Monet Brickman, MSN, CNM

  • Advanced Practice Midwife
  • Griffin, GA
  • NPI 1770830408

  Single Specialty

  Medicare reassignment NPD
• Jorden Mackenzie Brown, CNM

  • Advanced Practice Midwife
  • Riverdale, GA
  • NPI 1073228102
  Medicare reassignment NPD
• James Boyd Dunaway Jr., MD

  • Obstetrics & Gynecology Physician
  • Griffin, GA
  • NPI 1699855288
  Medicare reassignment NPD
• Brittney Gethers

  • Advanced Practice Midwife
  • Griffin, GA
  • NPI 1831771476
  Medicare reassignment NPD
• Abigail Bankston Gibbs, CNM

  • Midwife
  • Griffin, GA
  • NPI 1750063020
  Medicare reassignment NPD
• Kiwita Phillips Idani, M.D.

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1548432289
  Medicare reassignment NPD
• Bryan Keith Krepps, MD

  • Obstetrics & Gynecology Physician
  • Griffin, GA
  • NPI 1073693669
  Medicare reassignment NPD
• Enid Ianthe Lofters-Jones, MD

  • Obstetrics & Gynecology Physician
  • Griffin, GA
  • NPI 1487734075
  Medicare reassignment NPD
• Sonya Denise Marks, M.D.

  • Obstetrics & Gynecology Physician
  • Decatur, GA
  • NPI 1336361989
  Medicare reassignment NPD
• Nadine A Noelting, CNM

  • Advanced Practice Midwife
  • Griffin, GA
  • NPI 1669936399
  Medicare reassignment NPD
• Alphonzo Overstreet Jr., M.D.

  • Specialist
  • Atlanta, GA
  • NPI 1467510313
  Medicare reassignment NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1558415919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S 8TH STREET",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244211",
            "telephone_number": "770-227-5505",
            "fax_number": "770-412-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S 8TH STREET",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244211",
            "telephone_number": "770-227-5505",
            "fax_number": "770-412-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN OBGYN CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-227-5505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griffin Family Medicine, LLC
• Griffin Imaging, LLC (Griffin Open MRI)
• Griffin Imaging, LLC
• Griffin OB GYN 2 LLC
• Griffin OB/GYN Clinic II, LLC
• Griffin Pediatrics PA
• Griffin Pharmacy Services Inc (Westbury Senior Care Pharmacy)
• Griffin Radiation Oncology Center LLC
• Griffin Regional Radiation Therapy Center, Inc.
• Griffin Rehab Solutions, LLC

• Obstetrics & Gynecology Physician in Griffin, GA
• Providers in Griffin, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.