Individual provider Active NPI

Elmo Allen Griggs, MD

  • Addiction Medicine (Family Medicine) Physician
  • Bedford, IN
National Provider Identifier
1235209156
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
01029070A Issued in IN
Practice address
2811 Washington Ave
Bedford, IN 47421-5310
Phone
(812) 675-0902
Fax
(812) 675-8251
NPI assigned
Nov 8, 2006
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 01029070A IN Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 01029070A IN
General Practice Physician 208D00000X 01029070A IN

Addresses

Primary practice location

2811 Washington Ave
Bedford, IN 47421-5310

Mailing address

2811 Washington Ave
Bedford, IN 47421-5310
Phone (812) 675-0902

Other identifiers 2

IdentifierTypeStateIssuer
100383060MedicaidIN
351129269OtherINCOMMERCIAL INSURANCES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107000322 IN Practitioner - Family PracticePractitioner - Addiction MedicinePractitioner - Pathology 6800140039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, Pathology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Limestone Treatment and Healing Center LLCGroup PAC ID 4880162825, 4 clinicians

Practice addresses (Care Compare)

1535 G St
Bedford, IN 47421-3827
Phone (812) 277-6520

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Recovery, LLC CurrentSince Nov 24, 2020 Accepting new patients
Central Indiana Proctology PC Past Accepting new patients

Locations

2406 G St
Bedford, IN 47421
Phone (812) 675-0377

2811 Washington Ave
Bedford, IN 47421
Phone (812) 675-0902

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1235209156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WASHINGTON AVE",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215310",
            "telephone_number": "812-675-0902",
            "fax_number": "812-675-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WASHINGTON AVE",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215310",
            "telephone_number": "812-675-0902",
            "fax_number": "812-675-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "ELMO",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IN",
            "license": "01029070A",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "IN",
            "license": "01029070A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01029070A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100383060",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "351129269",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.