Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raina Griswold, PA-C

Individual provider Physician Assistant · NPI 1629321468

Raina Griswold, PA-C is a Physician Assistant in Atlanta, Georgia. Qualified in 2012, 14 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
14
Licensed in
GA, NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1110 W Peachtree St NW Ste 200A
Atlanta, GA 30309-3609
Phone: (404) 575-2000
Fax: (404) 575-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9656 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-03812 (NC)

Record details

NPI number1629321468
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2012
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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