Organization Active NPI

Highlands Urology

  • Urology Physician
  • Bristol, TN
National Provider Identifier
1609299130
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
HIGHLANDS UROLOGY
Practice address
28 Midway St
LL Suite 1
Bristol, TN 37620-1706
Phone
(423) 571-5487
Fax
(423) 573-8102
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. John G Griffith, MD
Title
President
Phone
(423) 571-5487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

28 Midway St
LL Suite 1
Bristol, TN 37620-1706

Mailing address

PO Box 547
Blountville, TN 37617-0547
Phone (423) 571-5487

Other names 1

  • Highlands Vasectomy Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

28 Midway St
#1
Bristol, TN 37620
Phone (423) 217-1700

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1609299130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376170547",
            "telephone_number": "423-571-5487",
            "fax_number": "423-573-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MIDWAY ST",
            "address_2": "LL SUITE 1",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201706",
            "telephone_number": "423-571-5487",
            "fax_number": "423-573-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-571-5487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Vasectomy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.