Organization Active NPI

Griffin Plastic Surgery PC

  • Plastic and Reconstructive Surgery Physician
  • Florence, SC
National Provider Identifier
1568535847
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
14678 Issued in SC
Legal business name
GRIFFIN PLASTIC SURGERY PC
Practice address
513 S Dargan St
Florence, SC 29506-2549
Phone
(843) 664-1122
Fax
(843) 664-1805
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Joe A Griffin III, MD
Title
Owner
Phone
(843) 664-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 14678 SC Primary

Addresses

Primary practice location

513 S Dargan St
Florence, SC 29506-2549

Mailing address

513 S Dargan St
Florence, SC 29506-2549
Phone (843) 664-1122

Other identifiers 1

IdentifierTypeStateIssuer
GP3789MedicaidSC

National Provider Directory

National Provider Directory

Locations

513 S Dargan St
Florence, SC 29506
Phone (803) 661-3000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1568535847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 S DARGAN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062549",
            "telephone_number": "843-664-1122",
            "fax_number": "843-664-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S DARGAN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062549",
            "telephone_number": "843-664-1122",
            "fax_number": "843-664-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-664-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "14678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3789",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.