Active NPI
George W Griffith MD PSC
- Family Medicine Physician
- Mount Vernon, KY
National Provider Identifier
1205919594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17377
- Legal business name
- GEORGE W GRIFFITH MD PSC
- Practice address
- 160 E, Main St
Mt Vernon, KY 40456-0609 - Phone
- (606) 256-2961
- Fax
- (606) 256-3562
- NPI assigned
- Oct 23, 2006
- Last updated
- Apr 1, 2011
- 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
- Mr. George W Griffith, MD
- Title
- President
- Phone
- (606) 256-2961
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17377 | KY | Primary |
Addresses
Primary practice location
160 E, Main St
Mt Vernon, KY 40456-0609
Mailing address
PO Box 609
Mt Vernon, KY 40456
Phone (606) 256-2961
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080139245 | Other | KY | RAILROAD MC |
| 64173776 | Medicaid | KY | |
| 000000064717 | Other | KY | ANTHEM BCBS |
National Provider Directory
National Provider DirectoryLocations
160 Main St
Mount Vernon, KY 40456
Phone (606) 256-2961
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Mount Vernon, KY
- NPI 1609941665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301616000000",
"number": "1205919594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 609",
"city": "MT VERNON",
"state": "KY",
"postal_code": "40456",
"telephone_number": "606-256-2961",
"fax_number": "606-256-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E, MAIN ST",
"city": "MT VERNON",
"state": "KY",
"postal_code": "404560609",
"telephone_number": "606-256-2961",
"fax_number": "606-256-3562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE W GRIFFITH MD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2011-04-01",
"status": "A",
"authorized_official_last_name": "GRIFFITH",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-256-2961",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "17377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MC",
"identifier": "080139245",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64173776",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000064717",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.