PAI PARTICIPANT 11 PC
NPI 1144887720
Internal Medicine - Geriatric Medicine in Griffin, GA
About Pai Participant 11 Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAI PARTICIPANT 11 PC (NPI 1144887720) is a healthcare organization registered as a geriatric medicine in Griffin, Georgia and active in the NPI registry since May 2019. The organization lists Brittain Brantley, Acting President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pai Participant 11 Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pai Participant 11 PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pai Participant 11 PC's NPI number?
The NPI number for Pai Participant 11 PC is 1144887720. It was assigned to this organization in the NPPES registry on May 20, 2019.
Where is Pai Participant 11 PC located?
Pai Participant 11 PC is located at 415 Airport Rd, Griffin, GA 30224. The listed phone number is (770) 227-8636.
What is Pai Participant 11 PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Pai Participant 11 PC enrolled in Medicare?
Yes. Pai Participant 11 PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pai Participant 11 PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pai Participant 11 PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pai Participant 11 PC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Pai Participant 11 Pc · NPI 1144887720
Geriatric Medicine organization in Griffin, Georgia. Organization record, active in the CMS NPPES registry since May 20, 2019.
## Identity
- **NPI:** 1144887720 (Entity type: Organization)
- **Enumerated:** May 20, 2019
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **Organization subpart:** No
- **Authorized official:** Brittain Brantley, ACTING PRESIDENT
## Practice location
- **Address:** 415 AIRPORT RD, Griffin, GA 30224-4834
- **Phone:** (770) 227-8636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1144887720) · Data from the CMS NPPES public registry.