Individual provider Active NPI

Ballina Haney Griffy, NP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1558871814
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN22855 Issued in TN
Practice address
80 Humphreys Center Dr Ste 210
Memphis, TN 38120-2353
Phone
(901) 761-3900
Fax
(901) 578-2572
NPI assigned
Oct 1, 2017
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN22855 TN Primary

Addresses

Primary practice location

80 Humphreys Center Dr Ste 210
Memphis, TN 38120-2353

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other names 1

  • Ballina Sherika Haney Former name

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
I20180822002656 TN Practitioner - Nurse Practitioner 1658620729 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialists Foundation, Inc.Group PAC ID 9830334010, 18 clinicians

Practice addresses (Care Compare)

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-4910

6019 Walnut Grove Rd 4
Memphis, TN 38120-2113
Phone (901) 226-0732

80 Humphreys Ctr Dr
Suite 210
Memphis, TN 38120-2353
Phone (901) 761-3900

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
90.53
Promoting interoperability
100
Improvement activities
40
Cost
85.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN22855TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Dec 3, 2018 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 28, 2023 Accepting new patients
Cherokee Health Systems CurrentSince Dec 3, 2018 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 28, 2023 Accepting new patients
Gastrointestinal Specialists Foundation, Inc Family CurrentSince Sep 18, 2022 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

240 Grandview Dr
Brighton, TN 38011
Phone (901) 475-0678

1500 W Poplar Ave
Ste 206
Collierville, TN 38017
Phone (901) 227-4067

1995 Highway 51 S
Ste 106
Covington, TN 38019
Phone 6153403436 ext. 102

1995 Highway 51 S
Ste 204
Covington, TN 38019
Phone (901) 475-5305

2146 Frayser Blvd
Memphis, TN 38127
Phone (901) 302-4361

2574 Frayser Blvd
Memphis, TN 38127
Phone (901) 271-9500

7777 Church St
Millington, TN 38053
Phone (901) 872-2020

6350 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 586-5031

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1506816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1558871814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202353",
            "telephone_number": "901-761-3900",
            "fax_number": "901-578-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFY",
        "first_name": "BALLINA",
        "middle_name": "HANEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-01",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN22855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BALLINA",
            "last_name": "HANEY",
            "middle_name": "SHERIKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.