Greg Griffin, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

05099410 Issued in GA

Legal business name

GREG GRIFFIN, LLC

Practice address

3827 Roswell Rd Ste 104
Marietta, GA 30062-6297

Phone

(770) 310-7190

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Greg Griffin, MA, BCPC, REV.NPI 1740535459

Title

Owner

Phone

(770) 310-7190

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Greg Griffin, M.A., REV.

  • Pastoral Counselor
  • Marietta, GA
  • NPI 1740535459
  NPD Authorized official

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1770073488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 ROSWELL RD STE 104",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626297",
            "telephone_number": "770-615-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 ROSWELL RD STE 104",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626297",
            "telephone_number": "770-310-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG GRIFFIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-310-7190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, BCPC, REV."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "05099410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yulanda E Greene, AA-C
• Lyric Greenhill-Casados
• Gary Greenhood, M.D.
• Jean Smith Greer-Lawrence, APN-C
• Amber Chea Greer, DC
• Alexia M Gregory, M.D.
• Cameron Scott Gregory
• Stephanie Shireen Gregory, M.D.
• Amber M Greiter, M.S., CCC-SLP
• Jordan Michael Gresham

• Community/Behavioral Health Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.