Active NPI
Robert Finch Griffith, M.D.
- Internal Medicine Physician
- Mountain City, TN
National Provider Identifier
1235167990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 46611
- Practice address
- 1901 S Shady St
Mountain City, TN 37683-2021 - Phone
- (423) 727-1103
- Fax
- (423) 727-1140
- NPI assigned
- Jun 29, 2006
- Last updated
- Feb 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33835 | NC | |
| Internal Medicine Physician | 207R00000X | 46611 | TN | Primary |
Addresses
Primary practice location
1901 S Shady St
Mountain City, TN 37683-2021
Mailing address
1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1103
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196100 | Other | TN | BCBS TN |
| 4013956 | Medicaid | TN | |
| 1235167990 | Medicaid | VA | |
| Q010003 | Medicaid | TN |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33835 | NC | MD | Internal Medicine Physician |
| 46611 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Medical Center Inc | Past | Accepting new patients | |
| Appalachian Regional Medical Associates, Inc. | Internal Medicine | Past | Accepting new patients |
| Watauga Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Appalachian Gastroenterology
- Family Medicine Physician
- Boone, NC
- NPI 1669533923
Internal Medicine
-
dba Watauga Medical Center
- Hematology & Oncology Physician
- Boone, NC
- NPI 1861567893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1235167990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S SHADY ST",
"city": "MOUNTAIN CITY",
"state": "TN",
"postal_code": "376832021",
"telephone_number": "423-727-1103",
"fax_number": "423-727-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S SHADY ST",
"city": "MOUNTAIN CITY",
"state": "TN",
"postal_code": "376832021",
"telephone_number": "423-727-1103",
"fax_number": "423-727-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "ROBERT",
"middle_name": "FINCH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "33835",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "46611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "196100",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4013956",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235167990",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q010003",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.