Active NPI
John David Griffin
- Internal Medicine Physician
- Farmington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2010020740
- Practice address
- 12 Annie Dr
Farmington, MO 63640-7656 - Phone
- (573) 915-4880
- NPI assigned
- Jul 3, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2010020740 | MO | Primary |
| Internal Medicine Physician | 207R00000X | DR.0053007 | CO | |
| Internal Medicine Physician | 207R00000X | ME118110 | FL | |
| Internal Medicine Physician | 207R00000X | MD-17025 | HI | |
| Internal Medicine Physician | 207R00000X | 2007019095 | MO | |
| Internal Medicine Physician | 207R00000X | MD36167 | SC |
Addresses
Primary practice location
12 Annie Dr
Farmington, MO 63640-7656
Mailing address
PO Box 959354
Saint Louis, MO 63195-9354
Phone (573) 705-1272
Other practice location 1
1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 705-1272 ext. 83791
Other names 1
- John David Griffin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751
1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751
1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195
116 S Euclid Ave
Suite 1
Westfield, NJ 07090-2187
Phone (908) 588-2311
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0053007 | CO | MD | Internal Medicine Physician |
| MD-17025 | HI | MD | Internal Medicine Physician |
| 2007019095 | MO | MD | Internal Medicine Physician |
| MD36167 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Hospital Physicians, LLC | Current | Accepting new patients | |
| Physician Groups LC | Internal Medicine | Current | Accepting new patients |
| Tri-State Specialists LLC | Current | Accepting new patients | |
| Genesis Comp Concussion LLC | Current | Accepting new patients | |
| Southeast Hospital | Current | Accepting new patients | |
| Parkland Health Center | Past | Accepting new patients | |
| Jefferson Physician Network, LLC | Past | Accepting new patients | |
| DRH Medical Group | Past | Accepting new patients |
Locations
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
1400 US Highway 61
Ste 240
Crystal Cty, MO 63028
Phone (636) 931-4913
1105 W Liberty St
Ste 4050
Farmington, MO 63640
Phone (573) 756-7844
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
1270 State Route 35
Ste 1
Middletown, NJ 07748
Phone (732) 615-3900
25 Lindsley Dr
Ste 208
Morristown, NJ 07960
Phone (862) 345-7955
119 Prospect St
Ste 3
Ridgewood, NJ 07450
Phone (201) 444-1600
300 Executive Dr
Ste 110
West Orange, NJ 07052
Phone (908) 588-2311
116 S Euclid Ave
Ste 1
Westfield, NJ 07090
Phone (908) 232-5551
Interoperability endpoints
- https://pmh-vmhaiku-01.pmh.org/FHIR/PARKLAND/api/FHIR/R4
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 8
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.
-
dba Genesis Orthopaedic and Spine
- Orthopaedic Surgery Physician
- Westfield, NJ
- NPI 1346808045
-
dba Mercy Clinic Southeast
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
-
dba Mercy Hospital Southeast
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
-
- Orthopaedic Surgery Physician
- Westfield, NJ
- NPI 1477340917
-
- Vascular Surgery Physician
- Festus, MO
- NPI 1558508606
-
dba Parkland Health Center - Farmington
- General Acute Care Hospital
- Farmington, MO
- NPI 1003824061
-
- Urgent Care Clinic/Center
- Oakland, CA
- NPI 1790560225
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
dba Parkland Health Center - Farmington
- General Acute Care Hospital
- Farmington, MO
- NPI 1003824061
-
dba Parkland Health Center - Farmington
- Psychiatric Hospital Unit
- Farmington, MO
- NPI 1902814866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1275731143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959354",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631959354",
"telephone_number": "573-705-1272",
"fax_number": "573-705-1216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 ANNIE DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636407656",
"telephone_number": "573-915-4880"
}
],
"practiceLocations": [
{
"address_1": "1101 W Liberty St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636401921",
"country_code": "US",
"telephone_number": "573-705-1272 x83791",
"fax_number": "573-705-1216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFIN",
"first_name": "JOHN",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2010020740",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0053007",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME118110",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD-17025",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2007019095",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "MD36167",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "GRIFFIN",
"middle_name": "DAVID",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.