Individual provider Active NPI

John David Griffin

  • Internal Medicine Physician
  • Farmington, MO
National Provider Identifier
1275731143
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2010020740 Issued in MO
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

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100903000473 MO Practitioner - Internal Medicine 1456475060 Reassigns benefits to 2 organizations
I20210223001628 NJ Practitioner - Internal Medicine 1456475060 Reassigns benefits to 1 organization

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
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians
Tri-State SpecialistsGroup PAC ID 6800121930, 8 clinicians

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

LicenseStateTypeSpecialty
DR.0053007COMDInternal Medicine Physician
MD-17025HIMDInternal Medicine Physician
2007019095MOMDInternal Medicine Physician
MD36167SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Jan 14, 2014 Accepting new patients
Physician Groups LC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Tri-State Specialists LLC CurrentSince Feb 3, 2021 Accepting new patients
Genesis Comp Concussion LLC CurrentSince Apr 27, 2025 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

  • FHIR API: https://pmh-vmhaiku-01.pmh.org/FHIR/PARKLAND/api/FHIR/R4
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.