Individual provider Active NPI

Jennifer Kathleen Griffin, M.D.

  • Family Medicine Physician
  • Spanish Fort, AL
National Provider Identifier
1609002500
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21889 Issued in MS
Practice address
32128 Broken Branch Cir
Spanish Fort, AL 36527-6000
Phone
(251) 626-6757
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21889 MS Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

32128 Broken Branch Cir
Spanish Fort, AL 36527-6000

Mailing address

32128 Broken Branch Cir
Spanish Fort, AL 36527-6000
Phone (251) 626-6757

Other identifiers 1

IdentifierTypeStateIssuer
02682506MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170724003941 AL Practitioner - Family Practice 4385808476 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelly Lambeth CRNP LLCGroup PAC ID 6305115981, 5 clinicians
PFCC, LLCGroup PAC ID 5698122745, 6 clinicians

Practice addresses (Care Compare)

30500 State Hwy 181
Suite 450
Spanish Fort, AL 36527-5824
Phone (251) 626-6757

32128 Broken Branch Cir
Daphne, AL 36527-6000
Phone (251) 626-6757

Hospital & facility affiliations

  • Alabama Hospice Care of Mobile Hospice, Mobile, AL, CCN 011558
  • D W McMillan Memorial Hospital Hospital, Brewton, AL, CCN 010099
  • Jackson Medical Center Hospital, Jackson, AL, CCN 010128
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • West Gate Village Nursing home, Brewton, AL, CCN 015035

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
93.4
Promoting interoperability
99
Improvement activities
40
Cost
61.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gmuc of Citronelle LLC Family Medicine CurrentSince Nov 4, 2017 Accepting new patients
Immediate Care Foley LLC Family Medicine CurrentSince Jun 6, 2017 Accepting new patients
Immediate Care Center of the South, LLC Family Medicine CurrentSince Jun 15, 2017 Accepting new patients
Greater Mobile Urgent Care Family Medicine CurrentSince Nov 4, 2017 Accepting new patients
Kelly Lambeth CRNP LLC Family Medicine CurrentSince Jul 10, 2023 Accepting new patients
Greater Mobile Urgent Care Family Medicine CurrentSince Nov 4, 2017 Accepting new patients
PFCC, LLC Family Medicine CurrentSince Nov 4, 2023 Accepting new patients
Gmuc of Springhill LLC Family Medicine CurrentSince Nov 4, 2017 Accepting new patients
George County Hospital Current Accepting new patients
West Gate Village, LLC Past Accepting new patients

Locations

100 Pineview St
Brewton, AL 36426
Phone (251) 583-8408

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

108 S Church St
Fairhope, AL 36532
Phone (251) 583-8408

1265 S McKenzie St
Foley, AL 36535
Phone (251) 300-2770

2350 Schillinger Rd S
Mobile, AL 36695
Phone (251) 445-7614

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

4270 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 300-2770

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

30500 State Highway 181
Ste 450
Spanish Fort, AL 36527
Phone (251) 625-1908

32128 Broken Branch Cir
Spanish Fort, AL 36527
Phone (251) 626-6757

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15695/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.griffin.1@15695.direct.athenahealth.com
  • Direct secure messaging: jennifergriffin@grh.medalliesdirect.net

Organizations & group practices 10

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 5

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1609002500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32128 BROKEN BRANCH CIR",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365276000",
            "telephone_number": "251-626-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32128 BROKEN BRANCH CIR",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365276000",
            "telephone_number": "251-626-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JENNIFER",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "21889",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02682506",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

Verify at the official NPI Registry.