Katelyn Griffin

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-1220 Issued in AL

Practice address

801 Princeton Ave SW
Birmingham, AL 35211-1310

Phone

(205) 780-4330

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katelyn McLane Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology , PCGroup PAC ID 6204723752, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.56 of 100Reported as group

Quality

93.68

Promoting interoperability

100

Improvement activities

40

Cost

73.33

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Cardiology , PC

  • Cardiovascular Disease Physician
  • Birmingham, AL
  • NPI 1285690776

  AL

  Medicare reassignment Care Compare group
• Nephrology Medical Associates of Georgia LLC

  • Nephrology Physician
  • Hermiston, OR
  • NPI 1093775645
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1770012437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "STE 707",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111309",
            "telephone_number": "205-780-4330",
            "fax_number": "205-780-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-780-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA-1220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "MCLANE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth H Griffin, MD
• Elizabeth L Griffin, CRNA
• Fred Long Griffin, MD
• Gloria Griffin, CRNP
• Jordyn Paige Griffin, RBT
• Kaylee Lanier Griffin
• Kerry Scott Griffin
• Keumhee (Kristen) Kim Griffin
• Richard C. Griffin, M.D.
• Susan Griffin, R.D, L.D., CDE

• All providers in Birmingham, AL
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.

Verify at the official NPI Registry.