Individual provider Active NPI

Stacy Sirmar Griffin, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Little Rock, AR
National Provider Identifier
1407892805
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
E10498 Issued in AR
Practice address
18 Corporate Hill Dr Ste 110
Little Rock, AR 72205-4565
Phone
(501) 224-1156
Fax
(501) 223-2625
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0201X E10498 AR Primary

Addresses

Primary practice location

18 Corporate Hill Dr Ste 110
Little Rock, AR 72205-4565

Mailing address

18 Corporate Hill Dr Ste 110
Little Rock, AR 72205-4565
Phone (501) 224-1156

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address littlerockallergy@myezyaccess.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20170804002188 AR Practitioner - Allergy/Immunology 0941425979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Arkansas College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Little Rock Allergy and Asthma Clinic PAGroup PAC ID 1658383633, 7 clinicians

Practice addresses (Care Compare)

18 Corporate Hill Dr
Suite 110
Little Rock, AR 72205-4565
Phone (501) 224-1156

Merit-based Incentive Payment System (MIPS)

Final score
75.5 of 100Reported as group
Quality
50.65
Improvement activities
40
Cost
84.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E10498ARMDAllergy & Immunology (Internal Medicine) Physician

Organizations & group practices 1

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1407892805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CORPORATE HILL DR STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054565",
            "telephone_number": "501-224-1156",
            "fax_number": "501-223-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CORPORATE HILL DR STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054565",
            "telephone_number": "501-224-1156",
            "fax_number": "501-223-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "STACY",
        "middle_name": "SIRMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "AR",
            "license": "E10498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "littlerockallergy@myezyaccess.com",
            "affiliation": "N",
            "address_1": "18 Corporate Hill Dr Ste 110",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722054565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.