SIMONE WENDY GRIFFIN PA
NPI 1609968783
Physician Assistant - Medical in Lebanon, NH

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-5000 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2026, Oct 17, 2022, Oct 1, 2015 (3 updates tracked since 2015).

About Simone Wendy Griffin Pa NPPES

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

SIMONE WENDY GRIFFIN PA (NPI 1609968783) is an individual medical provider in Lebanon, New Hampshire, licensed in Georgia (004693) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Conyers, and is a graduate of University Of Nebraska College Of Medicine (2013).

NPPES Registry Identity

NPI1609968783
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSIMONE WENDY GRIFFINCredential: PA
Location Address1 MEDICAL CENTER DRLebanon, NH 03756-1000
Mailing Address1617 Madison Ln SeConyers, GA 30013-2968 · (770) 990-7026 · Fax (770) 990-7026
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2013
Enumeration DateSeptember 28, 2006
Last NPPES UpdateApril 10, 20263 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
NPI 1609968783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 004693
Also ListedPhysician AssistantTaxonomy 363A00000X · License 53276 (CA), 1956 (NH)
1 MEDICAL CENTER DR, Lebanon, NH 03756

Other Names 1

Former Name (1)Simone Wendy Telford Pa

Secondary Practice Location 1

Location 11617 Madison Ln SEConyers, GA 30013-2968 · Phone (770) 990-7026

Other Identifiers 1

Medicaid369559693BGA

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

Simone Wendy Griffin Pa 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 ID9739100918
PECOS Enrollment IDI20051221000039
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.

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.

Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER DR
LEBANON, NH 03756
Pharmacist
1 MEDICAL CENTER DR
LEBANON, NH 03756
Nurse Practitioner (Adult Health)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF CARDIOLOGY
LEBANON, NH 03756
Anesthesiology (Pain Medicine)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF PAIN MEDICINE
LEBANON, NH 03756
Physician Assistant (Surgical)
1 MEDICAL CENTER DR, DHMC - ORTHOPAEDICS
LEBANON, NH 03756
Physician Assistant
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF ORTHOPAEDIC SURGERY
LEBANON, NH 03756
Anesthesiology
1 MEDICAL CENTER DR, DHMC - DEPT OF CRITICAL CARE
LEBANON, NH 03756
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1 MEDICAL CENTER DR, DHMC - CHILD DEVELOPMENT
LEBANON, NH 03756

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609968783, enumerated as an "individual" on September 28, 2006.

The provider is located at 1 MEDICAL CENTER DR LEBANON, NH 03756 and the phone number is (603) 650-5000.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.