SHAREIKKA LACOLE GRIFFIN (PA-C) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1396363644

SHAREIKKA LACOLE GRIFFIN (PA-C) is a healthcare provider. based in Tinley park, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085007813 (IL). The NPI Number for SHAREIKKA LACOLE GRIFFIN (PA-C) is 1396363644

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SHAREIKKA LACOLE GRIFFIN (PA-C)
NPI
1396363644
Phone
(708) 263-2000
Address
7543 183RD ST
Enumeration Date
13 July 2020
Last Update Date
3 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476529700
Graduation Year
2020 (6 years ago)
PAC ID
7719304351
Group Practice PAC ID
6204158280
Professional Enrollment ID
I20200827003853
Address ID
IL600027284AN420XX173X501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for SHAREIKKA LACOLE GRIFFIN (PA-C)

  • 7543 183RD ST

    TINLEY PARK, IL 604776208

    Phone: (708) 263-2000

    Fax: (708) 263-2023

    Type: Mailing

  • 420 N IL ROUTE 31

    CRYSTAL LAKE, IL 600123709

    Phone: (815) 356-5200

    Fax: (815) 356-5262

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200827003853IPhysician AssistantILTBD
I20250806004358IPhysician AssistantTXTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg45647$0
99213Established patient office or other outpatient visit, 20-29 minutes10389$0
20610Aspiration and/or injection of fluid from large joint7454$0
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose2914$0
99212Established patient office or other outpatient visit, 10-19 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 60477)

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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: 6204158280View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerWI
Physician AssistantIL
Physician AssistantIL
Physician AssistantIL
Nurse PractitionerIL
-IL
Physician AssistantIL

Reviews

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Frequently asked questions

What is the registry number for SHAREIKKA LACOLE GRIFFIN (PA-C)?
The registry entry for SHAREIKKA LACOLE GRIFFIN (PA-C) shows NPI 1396363644.
Does the public listing show SHAREIKKA LACOLE GRIFFIN (PA-C) as active?
SHAREIKKA LACOLE GRIFFIN (PA-C)'s NPI record reflects an active status in NPPES.
What does the directory say SHAREIKKA LACOLE GRIFFIN (PA-C) does?
Insurance directories may phrase it differently, but here SHAREIKKA LACOLE GRIFFIN (PA-C) maps to Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SHAREIKKA LACOLE GRIFFIN (PA-C)?
The directory associates SHAREIKKA LACOLE GRIFFIN (PA-C) with Tinley Park, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for SHAREIKKA LACOLE GRIFFIN (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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