Individual provider Active NPI

Miranda Griffeth, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Roswell, GA
National Provider Identifier
1891163846
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN251255 Issued in GA
Practice address
1300 Upper Hembree Rd Ste C
Roswell, GA 30076-0927
Phone
(404) 255-8022
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN251255 GA Primary

Addresses

Primary practice location

1300 Upper Hembree Rd Ste C
Roswell, GA 30076-0927

Mailing address

1300 Upper Hembree Rd Ste C
Roswell, GA 30076-0927
Phone (404) 381-2297

Other names 1

  • Miranda Dimmerling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 7, 2016 through Mar 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN251255GAMDAdvanced Practice Midwife

Interoperability endpoints

  • Direct secure messaging: miranda.griffeth.1@14062.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1891163846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UPPER HEMBREE RD STE C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760927",
            "telephone_number": "404-381-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UPPER HEMBREE RD STE C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760927",
            "telephone_number": "404-255-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFETH",
        "first_name": "MIRANDA",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN251255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "DIMMERLING",
            "credential": "CNM, WHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.