Active NPI
CC Griggs Holding, LTD.
- Nephrology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4030161868
- Legal business name
- CC GRIGGS HOLDING, LTD.
- Practice address
- 18455 James Couzens Fwy
Detroit, MI 48235-2506 - Phone
- (313) 341-7870
- Fax
- (313) 341-7950
- NPI assigned
- Sep 20, 2006
- Last updated
- Jun 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cynthia Claudine Griggs, M.D.
- Title
- Owner
- Phone
- (313) 341-7870
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4030161868 | MI | |
| Nephrology Physician | 207RN0300X | 4030161868 | MI | Primary |
Addresses
Primary practice location
18455 James Couzens Fwy
Detroit, MI 48235-2506
Mailing address
18455 James Couzens Fwy
Detroit, MI 48235-2506
Phone (313) 341-7870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18455 James Couzens Fwy
Detroit, MI 48235
Phone (313) 204-8911
3663 Woodward Ave
Detroit, MI 48201
Phone (313) 745-7888
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Medical Physician Assistant
- Dearborn, MI
- NPI 1992863872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402531200000",
"number": "1114024486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18455 JAMES COUZENS FWY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352506",
"telephone_number": "313-341-7870",
"fax_number": "313-341-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18455 JAMES COUZENS FWY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352506",
"telephone_number": "313-341-7870",
"fax_number": "313-341-7950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CC GRIGGS HOLDING, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2014-06-12",
"status": "A",
"authorized_official_last_name": "GRIGGS",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "CLAUDINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-341-7870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4030161868",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4030161868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.