Phyoncia M Griffin, CNA
Home Health Aide in Loganville, GA. Individual provider (NPI-1).
NPI number1104489640
StatusActive
Last updated in NPPESApr 19, 2019
Details
- NPI
- 1104489640
- Entity type
- Individual (NPI-1)
- Name
- Phyoncia M Griffin
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2019
- Last updated
- Apr 19, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | CN0030012917 | GA | Yes |
Practice location
3190 Summit Place DrLoganville, GA 30052-5353
Phone 404-507-4786 · Fax 404-541-3216
Mailing address
3190 Summit Place DrLoganville, GA 30052-5353
Phone 404-507-4786 · Fax 404-541-3216
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Home Health Aide providers in Loganville · All 962 providers in Loganville
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