Active NPI
Matthew Glenn Griffiths, PA-C
- Physician Assistant
- Grand Rapids, MI
National Provider Identifier
1124564133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008240
- Practice address
- 4100 Lake Dr SE Ste 300
Grand Rapids, MI 49546-8292 - Phone
- (616) 267-8860
- NPI assigned
- Jan 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008240 | MI | Primary |
Addresses
Primary practice location
4100 Lake Dr SE Ste 300
Grand Rapids, MI 49546-8292
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Tennessee, HSC, College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900
524 Market Dr
Lenoir City, TN 37771-6463
Phone (865) 988-0096
6942 Maynardville Pike
Knoxville, TN 37918-5320
Phone (865) 292-6590
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.49 of 100
- Quality
- 78.04
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Specialists of Knoxville PLLC | Past | Accepting new patients | |
| Tri-State Orthopaedic Surgeons, Inc. | Physician Assistant | Past | Accepting new patients |
| Ella E M Brown Charitable Circle | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Murfreesboro, TN
- NPI 1366644361
-
- Certified Registered Nurse Anesthetist
- Marshall, MI
- NPI 1174672521
-
- Allergy & Immunology Physician
- Knoxville, TN
- NPI 1275586224
-
- Orthopaedic Surgery Physician
- Evansville, IN
- NPI 1073501003
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1124564133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE DR SE STE 300",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468292",
"telephone_number": "616-267-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITHS",
"first_name": "MATTHEW",
"middle_name": "GLENN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-13",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.