Individual provider Active NPI

Teresa Beverly Griffin, MD,PHD

  • Family Medicine Physician
  • Dandridge, TN
National Provider Identifier
1386669653
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000028634 Issued in TN
Practice address
314 E Meeting St
Dandridge, TN 37725-4908
Phone
(865) 397-9957
Fax
(865) 397-9957
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000028634 TN Primary

Addresses

Primary practice location

314 E Meeting St
Dandridge, TN 37725-4908

Mailing address

314 E Meeting St
Dandridge, TN 37725-4908
Phone (865) 397-9957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000876 OH Practitioner - Family Practice 3375530694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD0000028634TNMDFamily Medicine Physician
28364TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Urgent Care Offices Medical Group Inc Current Accepting new patients
Dan G Tubbs CurrentSince Mar 1, 2021 Accepting new patients
St. Mary'S Medical Center of Campbell County, Inc. Past Accepting new patients
Health Ventures, Inc Past Accepting new patients
East Tennessee Women'S Care, PC Past Accepting new patients

Locations

911 Graham Rd
Ste 66
Cuyahoga Fls, OH 44221
Phone (330) 945-4700

935 State Route 28
Milford, OH 45150
Phone (513) 831-5955

Interoperability endpoints

  • Direct secure messaging: teresa.griffin.p11@direct.loraincountyhealth.nextgenshare.com

Organizations & group practices 6

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386669653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MEETING ST",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254908",
            "telephone_number": "865-397-9957",
            "fax_number": "865-397-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MEETING ST",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254908",
            "telephone_number": "865-397-9957",
            "fax_number": "865-397-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TERESA",
        "middle_name": "BEVERLY",
        "name_prefix": "Dr.",
        "credential": "MD,PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000028634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dandridge, TN

Sources for this page

Verify at the official NPI Registry.