Active NPI
Griffin Plastic Surgery PC
- Plastic and Reconstructive Surgery Physician
- Florence, SC
National Provider Identifier
1568535847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 14678
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3789 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.