BRENDA KAY GRIFFIN PMHNP
NPI 1326419201
Nurse Practitioner in Macon, GA

Active since October 16, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
340 HOSPITAL DR, SUITE 370, MACON, GA 31217(478) 474-4343(844) 213-0754 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda Kay Griffin Pmhnp NPPES

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

BRENDA KAY GRIFFIN PMHNP (NPI 1326419201) is an individual nurse practitioner in Macon, Georgia, licensed in Georgia (RN117393) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Coliseum Medical Centers, Llc, Dba, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326419201
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBRENDA KAY GRIFFINCredential: PMHNP
Location Address340 HOSPITAL DR, SUITE 370Macon, GA 31217-3838
Mailing Address340 Hospital Dr, Suite 370Macon, GA 31217-3838 · (478) 474-4343 · Fax (844) 213-0754
Fax(844) 213-0754
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 16, 2015
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
NPI 1326419201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN117393
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN117393 (GA)
340 HOSPITAL DR, Macon, GA 31217

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

Brenda Kay Griffin Pmhnp 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 ID3779886395
PECOS Enrollment IDI20160114001642
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Psychiatric Hospital
340 HOSPITAL DR, BLDG E
MACON, GA 31217
Clinic/Center (Ambulatory Surgical)
340 HOSPITAL DR, BLDG E
MACON, GA 31217
Nurse Practitioner (Primary Care)
340 HOSPITAL DR
MACON, GA 31217
Psychiatry & Neurology (Psychiatry)
340 HOSPITAL DR
MACON, GA 31217
Psychiatry & Neurology (Psychiatry)
340 HOSPITAL DR
MACON, GA 31217
Counselor (Professional)
340 HOSPITAL DR
MACON, GA 31217
Psychiatry & Neurology (Psychiatry)
340 HOSPITAL DR
MACON, GA 31217

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 Brenda Griffin's NPI number?

The NPI number for Brenda Griffin is 1326419201. It was assigned to this individual provider in the NPPES registry on October 16, 2015.

Where is Brenda Griffin located?

Brenda Griffin practices at 340 Hospital Dr Suite 370, Macon, GA 31217. The listed phone number is (478) 474-4343.

What is Brenda Griffin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brenda Griffin enrolled in Medicare?

Yes. Brenda Griffin 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.

Is Brenda Griffin affiliated with any hospitals?

According to CMS data, Brenda Griffin is affiliated with Coliseum Medical Centers, LLC, Dba.

When was this NPI record last updated?

The NPPES record for Brenda Griffin was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.