Individual provider Active NPI

R Forrest Griffin Jr., P.A-C

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1790088383
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
006025 Issued in GA
Practice address
1800 Howell Mill Rd NW Ste 175
Atlanta, GA 30318-0924
Phone
(404) 607-1777
Fax
(404) 607-1799
NPI assigned
Dec 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 006025 GA Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW Ste 175
Atlanta, GA 30318-0924

Mailing address

1800 Howell Mill Rd NW Ste 175
Atlanta, GA 30318-0924
Phone (404) 607-1777

Other identifiers 1

IdentifierTypeStateIssuer
006025OtherGAGEORGIA LICENSE

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
I20230719002748 GA Practitioner - Physician Assistant 7416317680 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006025GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Specialists of Atlanta CurrentSince Mar 31, 2024 Accepting new patients

Locations

1800 Howell Mill Rd NW
Ste 175
Atlanta, GA 30318
Phone (404) 607-1777

Organizations & group practices 2

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": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1790088383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 175",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180924",
            "telephone_number": "404-607-1777",
            "fax_number": "404-607-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 175",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180924",
            "telephone_number": "404-607-1777",
            "fax_number": "404-607-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "R",
        "middle_name": "FORREST",
        "name_suffix": "Jr.",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-21",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "006025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "006025",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.