Individual provider Active NPI

George W Griffith, MD

  • Family Medicine Physician
  • Mount Vernon, KY
National Provider Identifier
1609941665
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17377 Issued in KY
Practice address
140 Newcomb Ave
Mount Vernon, KY 40456-2725
Phone
(606) 256-2961
Fax
(606) 256-3562
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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 17377 KY Primary

Addresses

Primary practice location

140 Newcomb Ave
Mount Vernon, KY 40456-2725

Mailing address

PO Box 1405
Mount Vernon, KY 40456-1405
Phone (606) 256-2961

Other identifiers 5

IdentifierTypeStateIssuer
1342894OtherKYCOVENTRY CARES
10006897OtherKYKY COOPERATIVE
64173776MedicaidKY
596965OtherKYWELLCARE
000000790871OtherKYANTHEM

Other names 1

  • George W Griffith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20051117000271 KY Practitioner - Family Practice 9830160357 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockcastle County Hospital, Inc. Family Medicine CurrentSince Jan 14, 2013 Accepting new patients
Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic Family Medicine Current Accepting new patients
Rockcastle County Hospital, Inc. CurrentSince Jan 14, 2013 Accepting new patients
George W Griffith MD PSC Family Medicine PastSince Jul 1, 1974 Accepting new patients

Locations

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

160 Main St
Mount Vernon, KY 40456
Phone (606) 256-2961

Interoperability endpoints

  • Direct secure messaging: rhcggriffi@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1609941665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1405",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404561405",
            "telephone_number": "606-256-2961",
            "fax_number": "606-256-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562725",
            "telephone_number": "606-256-2961",
            "fax_number": "606-256-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "GEORGE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "17377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY CARES",
            "identifier": "1342894",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY COOPERATIVE",
            "identifier": "10006897",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64173776",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "596965",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000790871",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "GRIFFITH",
            "middle_name": "W",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Vernon, KY

Sources for this page

Verify at the official NPI Registry.