MRS. KRISTIN ISABEL GRIGGS (PA-C) – Medical Physician Assistant, NPI 1104475425

MRS. KRISTIN ISABEL GRIGGS (PA-C) is a healthcare provider. based in Villa rica, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9525 (GA). The NPI Number for MRS. KRISTIN ISABEL GRIGGS (PA-C) is 1104475425

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTIN ISABEL GRIGGS (PA-C)
NPI
1104475425
Phone
(770) 456-0911
Address
209 Cooley Dr Ste 101
Enumeration Date
9 September 2019
Last Update Date
9 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2019 (7 years ago)
PAC ID
1658705157
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20191216001538
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
kgriggs526959@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness95
Years active:6State licenses:1Other names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MRS. KRISTIN ISABEL GRIGGS (PA-C)

  • 209 Cooley Dr Ste 101

    Villa Rica, GA 301807057

    Phone: (770) 456-0911

    Type: Location

  • 5317 PINNACLE POINTE

    WINSTON, GA 301871969

    Phone: (256) 590-1197

    Type: Mailing

  • 209 COOLEY DR STE 101

    VILLA RICA, GA 301807057

    Phone: (770) 456-0911

    Type: Location

  • 8954 HOSPITAL DR

    DOUGLASVILLE, GA 301342272

    Phone: (943) 202-7120

    Fax: (470) 986-7807

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,573.

Total Amount is formed as General ($1,573) + Research ($0) + Ownership ($0) = $1,573.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($618).

Total Amount

$1,573

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,573

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191216001538IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg8414$0
J0696Injection, ceftriaxone sodium, per 250 mg4212$0
99213Established patient office or other outpatient visit, 20-29 minutes3736$0
99214Established patient office or other outpatient visit, 30-39 minutes3635$0
87804Detection test by immunoassay with direct visual observation for influenza virus3216$0
View full utilization report →

Insurance plans in this area (ZIP 30180)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. KRISTIN ISABEL GRIGGS (PA-C)?
NPI 1104475425 is assigned to MRS. KRISTIN ISABEL GRIGGS (PA-C) under the national enumeration system.
Does this profile mean MRS. KRISTIN ISABEL GRIGGS (PA-C) is currently active?
Yes — MRS. KRISTIN ISABEL GRIGGS (PA-C) appears active in the national provider directory.
What kind of provider is MRS. KRISTIN ISABEL GRIGGS (PA-C)?
The page reflects Medical Physician Assistant for MRS. KRISTIN ISABEL GRIGGS (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. KRISTIN ISABEL GRIGGS (PA-C)?
The snapshot lists Villa Rica, Georgia for MRS. KRISTIN ISABEL GRIGGS (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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