Mandi Tine Griffin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12237 Issued in MT

Practice address

1200 Westwood Dr
Hamilton, MT 59840-2345

Phone

(406) 363-5101

Fax

(406) 363-7652

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 17, 2021 through Dec 17, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mandigriffin@mdmh.cernerdirect.com
• Direct secure messaging: mandi.griffin@393450409099268.direct.elationemr.com

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.

• Tamarack Health DPC of the Bitterroot

  • Clinic/Center
  • Hamilton, MT
  • NPI 1568303493

  Family Medicine

  NPD Authorized official
• Marcus Daly Memorial Hospital Corporation

  dba Bitterroot Health - Daly Hospital

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846
  NPD

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1649476680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 W MAIN ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402338",
            "telephone_number": "406-375-4823",
            "fax_number": "406-375-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345",
            "telephone_number": "406-363-5101",
            "fax_number": "406-363-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MANDI",
        "middle_name": "TINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "12237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649476680",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649476680",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MANDIGRIFFINMDMHCERNERDIRECTCOM",
            "affiliation": "N",
            "address_1": "1200 Westwood Dr",
            "city": "Hamilton",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598402345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cristie Dee Goodnight, PCLC
• Melanie E Goodnight, FNP
• Jade Gordon
• Shirley L Gordon
• Karl Grever-Hoover
• Maureen E Griffith-Whelan, BA, LMT, NCBTMB
• Margaret Grimes, RN
• Patrick J Grimm, PA-C
• Kelby Grotbo, PT
• Carleen Dawn Grussling, LCSW, MSW

• Family Medicine Physician in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.