NICOLE ASHLEY GRIFFIN DO
NPI 1679327332
Student in an Organized Health Care Education/Training Program in Canton, OH

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 17, 2024PECOS Enrolled

2600 SIXTH ST SW, CANTON, OH 44710(330) 837-8391(330) 837-6782 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nicole Ashley Griffin Do NPPES

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

NICOLE ASHLEY GRIFFIN DO (NPI 1679327332) is an individual student in an organized health care education/training program in Canton, Ohio, licensed in Ohio (58.034291) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679327332

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE ASHLEY GRIFFINCredential: DO

Location Address2600 SIXTH ST SWCanton, OH 44710-1702

Mailing Address2600 Sixth St SwCanton, OH 44710-1702 · (330) 837-8391 · Fax (330) 837-6782

Phone(330) 837-8391

Fax(330) 837-6782

Sole ProprietorYes

Enumeration DateApril 17, 2024

NPPES CertifiedApril 17, 2024

✔ NPI 1679327332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OH · 58.034291

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2600 SIXTH ST SW, Canton, OH 44710

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ashley Griffin Do 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.