JACKIE TANNER GRIFFIN NP
NPI 1316922339
Nurse Practitioner - Family in Greensboro, NC

Q: What is Jackie Griffin's NPI number?

The NPI number for Jackie Griffin is 1316922339. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Q: What is Jackie Griffin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Griffin was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 13, 2005PECOS Enrolled

3803 N ELM ST, GREENSBORO, NC 27455(336) 540-7075(888) 882-3919 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackie Tanner Griffin Np NPPES

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

JACKIE TANNER GRIFFIN NP (NPI 1316922339) is an individual family provider in Greensboro, North Carolina, licensed in North Carolina (900292) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316922339

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACKIE TANNER GRIFFINCredential: NP

Location Address3803 N ELM STGreensboro, NC 27455-2593

Mailing Address3803 N Elm StGreensboro, NC 27455-2593 · (336) 540-7075 · Fax (888) 882-3919

Phone(336) 540-7075

Fax(888) 882-3919

Sole ProprietorNo

Enumeration DateDecember 13, 2005

Last NPPES UpdateJune 8, 2015

✔ NPI 1316922339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 900292

3803 N ELM ST, Greensboro, NC 27455

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Other Identifiers 3

Medicare PIN2802992A

Other2328528United Healthcare

Medicare PINP00312506

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Tanner Griffin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27455 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 20

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

STACEY S. TUXBURY C.N.P.

Registered Nurse