Individual provider Active NPI

Tina Griffin, PA-C

  • Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1962700385
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7135 Issued in GA
Practice address
12460 Crabapple Rd
Alpharetta, GA 30004-6602
Phone
(678) 762-0574
NPI assigned
Mar 9, 2011
Last updated
Jun 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003584 VA
Physician Assistant 363A00000X PA030750 DC
Physician Assistant 363A00000X 7135 GA Primary

Addresses

Primary practice location

12460 Crabapple Rd
Alpharetta, GA 30004-6602

Mailing address

12460 Crabapple Rd
Alpharetta, GA 30004-6602
Phone (678) 762-0574

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
I20140711001609 GA Practitioner - Physician Assistant 6709043334 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007135GAMDMental Health Counselor
7135GAMDPhysician Assistant
0110003584VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Sep 29, 2018 Accepting new patients
American Current Care PA CurrentSince Sep 29, 2018 Accepting new patients
Georgia Mso LLC CurrentSince Oct 16, 2025 Accepting new patients
AMC/North Fulton Urgent Care #2 LLC PastSince Jul 1, 2014 Accepting new patients
AMC/North Fulton Urgent Care 1 LLC PastSince Jun 21, 2014 Accepting new patients
Providence Health Services Inc Past Accepting new patients
Mount Desert Island Hospital PastSince Feb 9, 2020 Accepting new patients

Locations

688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1962700385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12460 CRABAPPLE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046602",
            "telephone_number": "678-762-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 CRABAPPLE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046602",
            "telephone_number": "678-762-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003584",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030750",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.