Active NPI
Robert Joseph Griffith, FNP-C
- Family Nurse Practitioner
- Henderson, TX
National Provider Identifier
1295920957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 646745
- Practice address
- 1115 US Highway 259 S
Henderson, TX 75654-3629 - Phone
- (903) 392-8203
- Fax
- (903) 392-8207
- NPI assigned
- Sep 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 646745 | TX | Primary |
Addresses
Primary practice location
1115 US Highway 259 S
Henderson, TX 75654-3629
Mailing address
1115 Hwy 259 S
Henderson, TX 75654
Phone (903) 392-8203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203375501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080226000279 | TX | Practitioner - Nurse Practitioner | 8224112537 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 646745 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise Emergency Medicine Associates PA | Current | Accepting new patients | |
| Ess of Nacogdoches LLC | Current | Accepting new patients | |
| Angelina Emergency Medicine Associates PA | Current | Accepting new patients | |
| Ess of South Texas LLC | Current | Accepting new patients | |
| Jefferson Emergency Medicine Associates PA | Past | Accepting new patients | |
| Texas Emergency Room Services PA | Past | Accepting new patients | |
| Camino Real Emergency Physicians PLLC | Past | Accepting new patients |
Locations
609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360
1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316
505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Livingston, TX
- NPI 1992871966
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1497966949
-
- Emergency Medicine Physician
- Lufkin, TX
- NPI 1992843387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1295920957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 HWY 259 S",
"city": "HENDERSON",
"state": "TX",
"postal_code": "75654",
"telephone_number": "903-392-8203",
"fax_number": "903-392-8207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 US HIGHWAY 259 S",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756543629",
"telephone_number": "903-392-8203",
"fax_number": "903-392-8207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-06",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "646745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203375501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.