SIMONE WENDY GRIFFIN (PA) – Medical Physician Assistant, NPI 1609968783
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SIMONE WENDY GRIFFIN (PA)
1617 Madison Ln SE
Conyers, GA 300132968
Phone: (770) 990-7026
Type: Location
1 Medical Center Dr
Lebanon, NH 037561000
Phone: (603) 650-5000
Type: Location
1255 Highway 54 W
Fayetteville, GA 302144526
Phone: (770) 716-0051
Fax: (770) 716-0087
Type: Location
821 TEXAS AVE
LOS BANOS, CA 936353453
Phone:
Type: Mailing
1267, Highway 54 West, Fayetteville, Fayette County, Georgia, 30214, United States
SUITE 2200
FAYETTEVILLE, GA 302142114
Phone: (770) 990-7026
Fax: (770) 716-0087
Type: Mailing
Piedmont Fayette Hospital, 1255, Highway 54 West, Fayetteville, Fayette County, Georgia, 30214, United States
FAYETTEVILLE, GA 302144526
Phone: (770) 716-0051
Fax: (770) 716-0087
Type: Location
1617 MADISON LN SE
CONYERS, GA 300132968
Phone: (770) 990-7026
Fax: (770) 990-7026
Type: Mailing
1 MEDICAL CENTER DR
LEBANON, NH 037561000
Phone: (603) 650-5000
Type: Location
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: 2023-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051221000039 | I | Physician Assistant | GA | TBD |
| I20160609000776 | I | Physician Assistant | CA | TBD |
| I20230209001139 | I | Physician Assistant | NH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 255 | 163 | $0 |
Insurance plans in this area (ZIP 30013)
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