Individual provider Active NPI

Mark Antyn Griffith

  • Pain Medicine Physician
  • Rockville, MD
National Provider Identifier
1275221285
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
R200261 Issued in MD
Practice address
6000 Executive Blvd
Ste 602
Rockville, MD 20852-3820
Phone
(301) 770-6301
NPI assigned
Apr 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R200261 MD
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X R200261 MD Primary

Addresses

Primary practice location

6000 Executive Blvd
Ste 602
Rockville, MD 20852-3820

Mailing address

6000 Executive Blvd Ste 602
Rockville, MD 20852-3820
Phone (301) 770-6301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240914000109 DC Practitioner - Nurse Practitioner 7214477496 Reassigns benefits to 3 organizations
I20250124000162 MD Practitioner - Nurse Practitioner 7214477496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Absolute Pain Management LLCGroup PAC ID 6103215850, 3 clinicians

Practice addresses (Care Compare)

6000 Executive Blvd
Suite 602
North Bethesda, MD 20852-3820
Phone (301) 770-6301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R200261MDMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Health Care Services LLC Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Exceptional Primary and Preventive Care LLC Single Specialty CurrentSince Jul 8, 2024 Accepting new patients
Absolute Pain Management LLC Single Specialty CurrentSince Jul 15, 2025 Accepting new patients

Locations

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

6000 Executive Blvd
Ste 602
Rockville, MD 20852
Phone (301) 770-6301

10301 Georgia Ave
Ste 209
Silver Spring, MD 20902
Phone (301) 587-6464

Interoperability endpoints

  • Direct secure messaging: mark.griffith.1@20308.direct.athenahealth.com
  • Direct secure messaging: mark.griffith.1@25225.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20308/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1275221285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 602",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523820",
            "telephone_number": "301-770-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD",
            "address_2": "STE 602",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523820",
            "telephone_number": "301-770-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "MARK",
        "middle_name": "ANTYN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R200261",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "R200261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.