Active NPI
Kevin Griffin, PA-C
- Physician Assistant
- Nashville, TN
National Provider Identifier
1215412663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3717
- Practice address
- 1900 Patterson St Ste 205
Nashville, TN 37203-2165 - Phone
- (615) 329-0341
- NPI assigned
- Oct 2, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3717 | TN | |
| Physician Assistant | 363A00000X | 3717 | TN | Primary |
Addresses
Primary practice location
1900 Patterson St Ste 205
Nashville, TN 37203-2165
Mailing address
638 Nashua LN
Nashville, TN 37209-1270
Phone (954) 778-7665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3717 | Other | TN | PHYSICIAN ASSISTANT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3717 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1215412663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 NASHUA LN",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372091270",
"telephone_number": "954-778-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PATTERSON ST STE 205",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032165",
"telephone_number": "615-329-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "KEVIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "3717",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "3717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT LICENSE",
"identifier": "3717",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.