Organization Active NPI

George W Griffith MD PSC

  • Family Medicine Physician
  • Mount Vernon, KY
National Provider Identifier
1205919594
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17377 Issued in KY
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Mr. George W Griffith, MDNPI 1609941665
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
080139245OtherKYRAILROAD MC
64173776MedicaidKY
000000064717OtherKYANTHEM BCBS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.