Individual provider Active NPI

Phoebe Gisele Griffin, M.D.

  • Obstetrics & Gynecology Physician
  • Kinston, NC
National Provider Identifier
1629315791
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2020-03420 Issued in NC
Practice address
324 N Queen St
Kinston, NC 28501-4932
Phone
(252) 522-9800
Fax
(252) 523-9790
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X S5376 TX
Obstetrics & Gynecology Physician 207V00000X E11571 AR
Obstetrics & Gynecology Physician 207V00000X 2020-03420 NC Primary

Addresses

Primary practice location

324 N Queen St
Kinston, NC 28501-4932

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other practice location 1

155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 499-6400

Other practice location 2

8233 N Sam Houston Pkwy E
Humble, TX 77396-2922
Phone (713) 442-2000

Other practice location 3

25553 Highway 59
Porter, TX 77365-6154
Phone (713) 442-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AR, NC, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160406000316 CA Practitioner - Obstetrics/Gynecology 9032417159 Reassigns benefits to 1 organization
I20180719002260 AR Practitioner - Obstetrics/Gynecology 9032417159 Reassigns benefits to 1 organization
I20200928001285 NC Practitioner - Obstetrics/Gynecology 9032417159
I20201207002395 TX Practitioner - Obstetrics/Gynecology 9032417159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelsey-Seybold Medical Group, PLLCGroup PAC ID 9739093527, 941 clinicians

Practice addresses (Care Compare)

8233 N Sam Houston Pkwy E
Humble, TX 77396-2922
Phone (713) 442-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E11571ARMDObstetrics & Gynecology Physician
2020-03420NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LHP Texas MD Services, Inc Obstetrics & Gynecology CurrentSince Dec 1, 2020 Accepting new patients
Arkansas Healthcare Services LLC Obstetrics & Gynecology CurrentSince Aug 1, 2018 Accepting new patients
Kelsey-Seybold Medical Group, PLLC Obstetrics & Gynecology CurrentSince Sep 18, 2023 Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Apr 24, 2023 Accepting new patients

Locations

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

1900 Malvern Ave
Ste 401
Hot Springs National Park, AR 71901
Phone (501) 623-6455

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

File 50978
Los Angeles, CA 90074

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

800 W Central Texas Expy
Ste 255
Harker Heights, TX 76548
Phone (254) 618-1040

800 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 618-4933

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

8233 N Sam Houston Pkwy E
Humble, TX 77396
Phone (713) 442-2000

201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

25553 Highway 59
Porter, TX 77365
Phone (713) 442-2100

Interoperability endpoints

  • Direct secure messaging: pgriffin66121@direct.kelsey-seybold.com
  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1629315791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-522-9800",
            "fax_number": "252-523-9790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012302",
            "country_code": "US",
            "telephone_number": "559-499-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8233 N Sam Houston Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773962922",
            "country_code": "US",
            "telephone_number": "713-442-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25553 Highway 59",
            "address_purpose": "LOCATION",
            "city": "Porter",
            "state": "TX",
            "postal_code": "773656154",
            "country_code": "US",
            "telephone_number": "713-442-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "PHOEBE",
        "middle_name": "GISELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S5376",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E11571",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2020-03420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.