Individual provider Active NPI

Kaylene Sue Dunn Griffin, MD

  • Pediatrics Physician
  • Sherman, TX
National Provider Identifier
1063447894
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L0225 Issued in TX
Practice address
300 N. Highland Ave. Suite 500
Sherman, TX 75092-7319
Phone
(903) 957-0302
Fax
(903) 893-6762
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L0225 TX Primary

Addresses

Primary practice location

300 N. Highland Ave. Suite 500
Sherman, TX 75092-7319

Mailing address

300 N. Highland Ave. Suite 500
Sherman, TX 75092-7319
Phone (903) 957-0302

Other identifiers 3

IdentifierTypeStateIssuer
042378203MedicaidTX
100156740BMedicaidOK
200320401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041029000519 TX Practitioner - Pediatric Medicine 9830151174 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L0225TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Pediatrics, PLLC Pediatrics CurrentSince Nov 10, 2024 Accepting new patients
Sherman Grayson Hospital LLC Current Accepting new patients
Sherman MD Provider Inc CurrentSince Dec 1, 2014 Accepting new patients
Sherman MD Provider Inc Pediatrics CurrentSince Dec 1, 2014 Accepting new patients
Physicians and Allied Health Professionals Group, PA Pediatrics Past Accepting new patients

Locations

300 N Highland Ave
Ste 545
Sherman, TX 75092
Phone (903) 892-8113

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

3401 N Calais Dr
Ste A
Sherman, TX 75090
Phone (903) 870-2094

300 N Highland Ave
Ste 500
Sherman, TX 75092
Phone (903) 957-0302

1908 N Laurent St
Ste 330
Victoria, TX 77901
Phone 36157203332244

1908 N Laurent St
Ste 410
Victoria, TX 77901

Interoperability endpoints

  • Direct secure messaging: kaylenegriffin@wnjrmc.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1063447894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N. HIGHLAND AVE. SUITE 500",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927319",
            "telephone_number": "903-957-0302",
            "fax_number": "903-893-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N. HIGHLAND AVE. SUITE 500",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927319",
            "telephone_number": "903-957-0302",
            "fax_number": "903-893-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KAYLENE",
        "middle_name": "SUE DUNN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L0225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042378203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100156740B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200320401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.