Leah Griffin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0007861 Issued in MD

Practice address

9821 Broken Land Pkwy Ste 102
Columbia, MD 21046-1161

Phone

(410) 910-2350

NPI assigned

Jul 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1922679752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 MERRIWEATHER DR UNIT 7017",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 BROKEN LAND PKWY STE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461161",
            "telephone_number": "410-910-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "LEAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0007861",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desirae Grey
• Kaydence Grier
• Daneeka Griffin-Bey
• Alexandria Griffin, BSN, RN
• James L Griffin Jr., MD
• Patricia Griffin
• Shakeya Shante Griffin
• Twyla Griffin
• Haley Lynn Griffith
• Jennifer Allison Griffith, RN

• Physician Assistant in Columbia, MD
• Providers in Columbia, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.