Individual provider Active NPI

Paul Griffiths, PA-C

  • Physician Assistant
  • Las Cruces, NM
National Provider Identifier
1518977461
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2003-0038 Issued in NM
Practice address
1600 Thorpe Rd
Las Cruces, NM 88012-9776
Phone
(575) 382-9292
Fax
(575) 267-1747
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2003-0038 NM Primary

Addresses

Primary practice location

1600 Thorpe Rd
Las Cruces, NM 88012-9776

Mailing address

PO Box 370
Hatch, NM 87937
Phone (575) 267-3280

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paul.griffiths.1@1928.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070712000255 NM Practitioner - Physician Assistant 8921108457 Reassigns benefits to 1 organization
I20260513000054 NV Practitioner - Physician Assistant 8921108457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5500 Maryland Way
Suite 120
Brentwood, TN 37027-4993

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2003-0038NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Archer Health Center CurrentSince Jul 16, 2007 Accepting new patients
Ben Archer Health Center CurrentSince Jul 16, 2007 Accepting new patients
Ben Archer Health Center Past Accepting new patients
Familycare Associates,PA Past Accepting new patients
Ben Archer Health Center Past Accepting new patients
Ben Archer Health Center Past Accepting new patients

Locations

2150 Highway 54 S
Alamogordo, NM 88310
Phone (575) 443-8133

1998 N Motel Blvd
Las Cruces, NM 88007
Phone (575) 541-5941

3331 Del Rey Blvd
Las Cruces, NM 88012
Phone (575) 267-3280

1600 Thorpe Rd
Las Cruces, NM 88012
Phone (505) 267-3088

1950 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-8057

1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662

Interoperability endpoints

  • FHIR API: https://epicproxy.et1256.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: paul.griffiths.1@1928.direct.athenahealth.com

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 1

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1518977461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "HATCH",
            "state": "NM",
            "postal_code": "87937",
            "telephone_number": "575-267-3280",
            "fax_number": "575-267-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 THORPE RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880129776",
            "telephone_number": "575-382-9292",
            "fax_number": "575-267-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITHS",
        "first_name": "PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2003-0038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paul.griffiths.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1600 Thorpe Rd",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880129776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.