MARGARET GRIFA M.D.
NPI 1003020041
Family Medicine in Gainesville, GA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
1285 SIMS ST, GAINESVILLE, GA 30501(770) 219-8583 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2023, Aug 19, 2022, Jul 29, 2020 (3 updates tracked since 2020).

About Margaret Grifa M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARGARET GRIFA M.D. (NPI 1003020041) is an individual family medicine provider in Gainesville, Georgia, licensed in Georgia (79815) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1003020041
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARGARET GRIFACredential: M.D.
Location Address1285 SIMS STGainesville, GA 30501-3851
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2005
Enumeration DateMay 9, 2007
Last NPPES UpdateJanuary 18, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
NPI 1003020041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in GA · 79815 Licensed in NY · 252874
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1285 SIMS ST, Gainesville, GA 30501

Other Names 1

Former Name (1)Margaret Baxter

Secondary Practice Location 1

Location 11100 Long Pond Rd, Suite 250Rochester, NY 14626-1177 · Phone (585) 368-4350 · Fax (585) 227-7324

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Margaret Grifa M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183776222
PECOS Enrollment IDI20220825002248
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
269 services125 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
148 services88 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
100 services100 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
69 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
57 services33 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
49 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims3,660 services$0.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1285 SIMS ST
GAINESVILLE, GA 30501
Internal Medicine
1285 SIMS ST
GAINESVILLE, GA 30501
Obstetrics & Gynecology
1285 SIMS ST
GAINESVILLE, GA 30501
Advanced Practice Midwife
1285 SIMS ST
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
1285 SIMS ST
GAINESVILLE, GA 30501
Internal Medicine
1285 SIMS ST
GAINESVILLE, GA 30501
Family Medicine
1285 SIMS ST
GAINESVILLE, GA 30501
Obstetrics & Gynecology
1285 SIMS ST
GAINESVILLE, GA 30501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Margaret Grifa's NPI number?

The NPI number for Margaret Grifa is 1003020041. It was assigned to this individual provider in the NPPES registry on May 9, 2007. The provider is also known as Margaret Baxter.

Where is Margaret Grifa located?

Margaret Grifa practices at 1285 Sims St, Gainesville, GA 30501. The listed phone number is (770) 219-8583.

What is Margaret Grifa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Margaret Grifa enrolled in Medicare?

Yes. Margaret Grifa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Margaret Grifa accept?

Health plans from Alliant Health Plans, Inc. list Margaret Grifa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Margaret Grifa affiliated with any hospitals?

According to CMS data, Margaret Grifa is affiliated with Northeast Georgia Medical Center, Inc and Northeast Georgia Medical Center Habersham.

When was this NPI record last updated?

The NPPES record for Margaret Grifa was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.