Manda S Griffin (NPI# 1386781151, PAC ID# 1557393949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1386781151 |
| PAC ID by PECOS | 1557393949 |
| Professional Enrollment ID | I20070622000308 |
| Full Name | Manda S Griffin |
| Address |
400 3rd Ave Hwy 32 W Houlka MS 38850-9000 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250017 | TRACE REGIONAL HOSP AND SWING BED |
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| 251308 | PONTOTOC HEALTH SERVICE INC CAH |
| Address | Phone | Organization |
|---|---|---|
| 400 3rd Ave Hwy 32 W, Houlka, MS 38850-9000 | ||
| 670 Hwy 178 W, Suite 5, Sherman, MS 38869-7000 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
400 3RD AVE HWY 32 W |
| City | HOULKA |
| State | MS |
| Zip | 38850-9000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Celeste Hardin | Nurse Practitioner | Access Family Health Services, Inc. | 106 Walker St, Access Family Health Houlka Clinic, Houlka, MS 38850-0187 |
| Dorthia Walters | Nurse Practitioner | Access Family Health Services, Inc. | 106 Walker St, Houlka, MS 38850-0187 |
| City | HOULKA |
| Zip Code | 38850 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOULKA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Manda S Griffin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.