Individual provider Active NPI

Kerri Lane Griffin, CRNP

  • Family Nurse Practitioner
  • Enterprise, AL
National Provider Identifier
1861007957
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-116377 Issued in AL
Practice address
612 N Main St Ste B
Enterprise, AL 36330-1775
Phone
(334) 305-2800
Fax
(334) 305-2801
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 1-116377 AL Primary

Addresses

Primary practice location

612 N Main St Ste B
Enterprise, AL 36330-1775

Mailing address

118 Obrannan Park Dr
Dothan, AL 36303-2052
Phone (334) 305-2800

Other identifiers 2

IdentifierTypeStateIssuer
1861007957OtherALBLUE CROSS BLUE SHIELD
1861007957MedicaidAL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201001003529 AL Practitioner - Nurse Practitioner 5092134577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rao Heart and Vascular LLCGroup PAC ID 1557769726, 7 clinicians

Practice addresses (Care Compare)

612 N Main St
Suite B
Enterprise, AL 36330-1775
Phone (334) 305-2800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rao Heart & Vascular LLC CurrentSince Jan 28, 2026 Accepting new patients
Dothan Hypertension Nephrology Associates CurrentSince Dec 5, 2022 Accepting new patients
Southeastern Dermatology Group PA CurrentSince Jan 28, 2026 Accepting new patients
Allsouth Urgent Care Clinic, Inc. CurrentSince Jan 14, 2022 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

845 W Bypass
Ste D
Andalusia, AL 36420
Phone (334) 305-2800

1052 Ross Clark Cir
Dothan, AL 36303
Phone (334) 699-3600

112 Haven Dr
Ste 1
Dothan, AL 36301
Phone (334) 673-0049

207 Haven Dr
Dothan, AL 36301
Phone (334) 793-1964

200 Medical Care Way
Dothan, AL 36303
Phone (334) 305-2800

4585 Montgomery Hwy
Dothan, AL 36303
Phone (334) 340-2600

Interoperability endpoints

  • Direct secure messaging: kerri.griffin@direct.davitaphysiciansolutions.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GAGFCD

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1861007957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 OBRANNAN PARK DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032052",
            "telephone_number": "334-305-2800",
            "fax_number": "866-554-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N MAIN ST STE B",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301775",
            "telephone_number": "334-305-2800",
            "fax_number": "334-305-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KERRI",
        "middle_name": "LANE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-116377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1861007957",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861007957",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.