GRIFFIN FAMILY MEDICAL CLINIC PA
NPI 1437514262
Nurse Practitioner - Family in Pelahatchie, MS
About Griffin Family Medical Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRIFFIN FAMILY MEDICAL CLINIC PA (NPI 1437514262) is a healthcare organization registered as a family in Pelahatchie, Mississippi and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Mary Ann Griffin, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Griffin Family Medical Clinic Pa 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 Griffin Family Medical Clinic PA, 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D1064347
Griffin Family Medical Clinic, PA · Pelahatchie, MSFrequently 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 Griffin Family Medical Clinic PA's NPI number?
The NPI number for Griffin Family Medical Clinic PA is 1437514262. It was assigned to this organization in the NPPES registry on December 21, 2015.
Where is Griffin Family Medical Clinic PA located?
Griffin Family Medical Clinic PA is located at 507 Highway 80, Pelahatchie, MS 39145. The listed phone number is (601) 854-8002.
What is Griffin Family Medical Clinic PA's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Griffin Family Medical Clinic PA enrolled in Medicare?
Yes. Griffin Family Medical Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Griffin Family Medical Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Griffin Family Medical Clinic PA. 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.
Does Griffin Family Medical Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D1064347) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Griffin Family Medical Clinic PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Griffin Family Medical Clinic PA 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.
When was this NPI record last updated?
The NPPES record for Griffin Family Medical Clinic PA was last updated on December 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Griffin Family Medical Clinic Pa · NPI 1437514262
Family organization in Pelahatchie, Mississippi. Organization record, active in the CMS NPPES registry since December 21, 2015.
## Identity
- **NPI:** 1437514262 (Entity type: Organization)
- **Enumerated:** December 21, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Mary Griffin, OWNER/PROVIDER
## Practice location
- **Address:** 507 HIGHWAY 80, Pelahatchie, MS 39145-2786
- **Phone:** (601) 854-8002 · **Fax:** (601) 854-7333
## 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:** December 21, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437514262) · Data from the CMS NPPES public registry.