MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC) – Family Nurse Practitioner, NPI 1124456850

MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC) is a healthcare provider. based in Clinton, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. R880440 (MS). The NPI Number for MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC) is 1124456850

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC)
NPI
1124456850
Phone
(601) 488-8101
Address
590 SPRINGRIDGE RD
Enumeration Date
15 October 2013
Last Update Date
22 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6625374830
Graduation Year
2016 (10 years ago)
PAC ID
8022247527
Group Practice PAC ID
4587998547
Professional Enrollment ID
I20140203001154
Address ID
MS387033253GR1727XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC)

  • 590 SPRINGRIDGE RD

    CLINTON, MS 390565606

    Phone: (601) 488-8101

    Mailing address matches the actual address.

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: 2014-02-03

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
I20140203001154INurse PractitionerMSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7030$0
G0447Face-to-face behavioral counseling for obesity, 15 minutes5726$0
View full utilization report →

Insurance plans in this area (ZIP 39056)

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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: 4587998547View full group profile
NameSpecialtyState
Clinical Social WorkerMS
Nurse PractitionerMS
Nurse PractitionerMS
Clinical Social WorkerMS
Nurse PractitionerMS
Nurse PractitionerMS
Mental Health CounselorMS
Nurse PractitionerTN
Nurse PractitionerMS
Clinical Social WorkerMS

Reviews

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Frequently asked questions

How do payers reference MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC)?
For MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC), use NPI 1124456850 as the unique 10-digit identifier.
Is there an active status for MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC)?
For scheduling context, MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC) is shown as active in the registry.
What area of care is associated with MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC)?
MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC) associated with Clinton?
Public fields place MRS. AMANDA MONIQUE CARSON-GRIFFIN (FNP-BC) around Clinton, Mississippi. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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