Individual provider Active NPI

Timothy Ralph Griffin, MD

  • Family Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1558948752
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13503 Issued in GA
Practice address
1719 Russell Pkwy Ste 700
Warner Robins, GA 31088-5765
Phone
(478) 328-7674
Fax
(478) 328-1393
NPI assigned
Mar 25, 2021
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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 13503 GA Primary

Addresses

Primary practice location

1719 Russell Pkwy Ste 700
Warner Robins, GA 31088-5765

Mailing address

PO Box 117598
Atlanta, GA 30368-7598
Phone (770) 442-1911

Other practice location 1

5437 Bowman Rd Ste 126
Macon, GA 31210-6574
Phone (478) 633-1919

Other practice location 2

3780 Eisenhower Pkwy
Macon, GA 31206-0800
Phone (478) 633-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20241016001577 GA Practitioner - Family Practice 8921402611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

5437 Bowman Rd
Suite 126
Macon, GA 31210-6574
Phone (478) 633-1919

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
The Medical Center of Central Georgia Inc PastSince Mar 1, 2021 Accepting new patients
Southeast Medical Group, P.C. Family Medicine PastSince Jun 5, 2022 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients

Locations

5437 Bowman Rd
Ste 126
Macon, GA 31210
Phone (478) 633-1919

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA
  • Direct secure messaging: ntalukdar447028@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1558948752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117598",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687598",
            "telephone_number": "770-442-1911",
            "fax_number": "770-442-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 RUSSELL PKWY STE 700",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885765",
            "telephone_number": "478-328-7674",
            "fax_number": "478-328-1393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5437 Bowman Rd Ste 126",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312106574",
            "country_code": "US",
            "telephone_number": "478-633-1919",
            "fax_number": "478-633-1924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3780 Eisenhower Pkwy",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312060800",
            "country_code": "US",
            "telephone_number": "478-633-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TIMOTHY",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "13503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.