Kendall M Griffith MD LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

KENDALL M GRIFFITH MD LLC

Practice address

110 Rushing LN
Statesboro, GA 30458-6027

Phone

(912) 243-9274

NPI assigned

Sep 14, 2018

Organization subpart

No

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

Authorized official

Name

Kendall M Griffith, MDNPI 1710968060

Title

Owner

Phone

(340) 643-2227

Specialties & licenses 6

Addresses

Other names 1

• My Heart Doctor Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendall M Griffith, M.D.

  • Interventional Cardiology Physician
  • Statesboro, GA
  • NPI 1710968060
  Medicare reassignment Care Compare group Authorized official
• Lindsay Jenkins Barnard, FNP

  • Family Nurse Practitioner
  • Clyo, GA
  • NPI 1083387690
  Medicare reassignment Care Compare group
• David Wayne Lariscy, MD

  • Cardiovascular Disease Physician
  • Statesboro, GA
  • NPI 1134362718
  Medicare reassignment Care Compare group
• Ashley J Boynton, NP-C

  • Family Nurse Practitioner
  • Waynesboro, GA
  • NPI 1245990373
  Medicare reassignment NPD
• Brittany Bacot, APRN

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1285078147

  GA

  Medicare reassignment

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1174006159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2027",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304592027",
            "telephone_number": "912-243-9274",
            "fax_number": "912-341-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RUSHING LN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586027",
            "telephone_number": "912-243-9274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1499 Fair Rd",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304581683",
            "country_code": "US",
            "telephone_number": "912-243-9274",
            "fax_number": "912-341-6513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 E Long St",
            "address_purpose": "LOCATION",
            "city": "Claxton",
            "state": "GA",
            "postal_code": "304171412",
            "country_code": "US",
            "telephone_number": "912-243-9274",
            "fax_number": "912-341-6513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-243-9274",
            "fax_number": "912-341-6513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1707 Meadows Ln Ste E-1",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304747200",
            "country_code": "US",
            "telephone_number": "912-243-9274",
            "fax_number": "912-341-6513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Meadows Pkwy",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748759",
            "country_code": "US",
            "telephone_number": "912-243-9274",
            "fax_number": "912-341-6513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1058 Bermuda Run",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580858",
            "country_code": "US",
            "telephone_number": "912-243-9274",
            "fax_number": "912-341-6513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENDALL M GRIFFITH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "340-643-2227",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Heart Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jana Katz, A.T.C.
• Tori Kearns, PH.D.
• Jadarrius Keaton
• Alexa Kelley, CLC
• Kassandra Kelly, ATC, LAT
• Maxwell B Kennedy, MFT
• Sarah Kent, IBCLC
• Isabella Kersey
• Katherine Elizabeth Key
• Mbill Shadman Khan

• Cardiovascular Disease Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.

Verify at the official NPI Registry.