Active NPI
Griffith Family Medicine, PLLC
- Family Medicine Physician
- Nacogdoches, TX
National Provider Identifier
1346661709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GRIFFITH FAMILY MEDICINE, PLLC
- Practice address
- 1023 N Mound St
Suite a
Nacogdoches, TX 75961-4491 - Phone
- (936) 564-2691
- Fax
- (936) 560-5224
- NPI assigned
- Jan 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Griffith, FNP-C
- Title
- Owner
- Phone
- (936) 564-2691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1023 N Mound St
Suite a
Nacogdoches, TX 75961-4491
Mailing address
PO Box 345
Mt Enterprise, TX 75681-0345
Phone (936) 564-2691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203375501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388620800000",
"number": "1346661709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 345",
"city": "MT ENTERPRISE",
"state": "TX",
"postal_code": "756810345",
"telephone_number": "936-564-2691",
"fax_number": "936-560-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 N MOUND ST",
"address_2": "SUITE A",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614491",
"telephone_number": "936-564-2691",
"fax_number": "936-560-5224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRIFFITH FAMILY MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-02",
"last_updated": "2014-01-02",
"status": "A",
"authorized_official_last_name": "GRIFFITH",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-564-2691",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203375501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.