Active NPI
Kerri Lane Griffin, CRNP
- Family Nurse Practitioner
- Enterprise, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-116377
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861007957 | Other | AL | BLUE CROSS BLUE SHIELD |
| 1861007957 | Medicaid | AL |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rao Heart & Vascular LLC | Current | Accepting new patients | |
| Dothan Hypertension Nephrology Associates | Current | Accepting new patients | |
| Southeastern Dermatology Group PA | Current | Accepting new patients | |
| Allsouth Urgent Care Clinic, Inc. | Current | 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
- kerri.griffin@direct.davitaphysiciansolutions.com
- 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.
-
- Cardiovascular Disease Physician
- Dothan, AL
- NPI 1831864891
-
- Urgent Care Clinic/Center
- Dothan, AL
- NPI 1770733636
-
- Specialist
- Dothan, AL
- NPI 1013018407
-
- Dermatology Physician
- Panama City, FL
- NPI 1518972231
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ozark, AL
- NPI 1942380357
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- General Acute Care Hospital
- Enterprise, AL
- NPI 1720039712
-
- Rural Health Clinic/Center
- Louisville, AL
- NPI 1134632045
Hospital
-
- Family Medicine Physician
- Hurtsboro, AL
- NPI 1154972883
Hospital
-
- Critical Access Hospital
- Eufaula, AL
- NPI 1730692641
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.