Individual provider Active NPI

Brittni B. Chitwood, PA-C

  • Physician Assistant
  • Griffin, GA
National Provider Identifier
1588150429
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008764 Issued in GA
Practice address
731 South 8TH Street
Griffin, GA 30224
Phone
(770) 460-8988
Fax
(770) 688-8940
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008764 GA Primary

Addresses

Primary practice location

731 South 8TH Street
Griffin, GA 30224

Mailing address

450 Lanier Ave West
Fayetteville, GA 30214
Phone (770) 460-8988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20210813000273 GA Practitioner - Physician Assistant 0648674648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James T Sandwich MD PCGroup PAC ID 8527059385, 6 clinicians

Practice addresses (Care Compare)

16125 Barnesville St
Zebulon, GA 30295-4224
Phone (770) 460-8988

450 Lanier Ave W
Fayetteville, GA 30214-1502
Phone (770) 460-8988

450 Lanier W Ave
Fayetteville, GA 30214-1502

731 S 8TH St
Griffin, GA 30224-4818
Phone (770) 460-8988

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
91.75
Promoting interoperability
69
Improvement activities
40
Cost
76.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008764GAMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin M Kurey MD PC Past Accepting new patients
Donna M. Haney M.D., P.C. PastSince Aug 1, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brittnic@fayette.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1588150429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LANIER AVE WEST",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-460-8988",
            "fax_number": "770-460-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 SOUTH 8TH STREET",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "30224",
            "telephone_number": "770-460-8988",
            "fax_number": "770-688-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITWOOD",
        "first_name": "BRITTNI",
        "middle_name": "B.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "008764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.