Individual provider Active NPI

James Adam Griffith, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Clarksville, TN
National Provider Identifier
1659644888
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9492 Issued in TN
Practice address
2285 Rudolphtown Rd Ste 200
Clarksville, TN 37043-2226
Phone
(931) 552-3292
NPI assigned
Feb 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9492 TN Primary
Dentist 122300000X 9492 TN

Addresses

Primary practice location

2285 Rudolphtown Rd Ste 200
Clarksville, TN 37043-2226

Mailing address

2285 Rudolphtown Rd Ste 200
Clarksville, TN 37043-2226
Phone (931) 552-3292

Other practice location 1

2524 Highway 49 E Ste C
Pleasant View, TN 37146-7200
Phone (931) 552-3292

Other practice location 2

1275 Parkway Pl
Clarksville, TN 37042-8402
Phone (931) 552-3292

Medicare participation

Medicare enrollment files
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 Jul 26, 2023 through Jul 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9492TNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Surgical Arts and Associates, PLLC Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 1

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": "1329609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1659644888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 RUDOLPHTOWN RD STE 200",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432226",
            "telephone_number": "931-552-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 RUDOLPHTOWN RD STE 200",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432226",
            "telephone_number": "931-552-3292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2524 Highway 49 E Ste C",
            "address_purpose": "LOCATION",
            "city": "Pleasant View",
            "state": "TN",
            "postal_code": "371467200",
            "country_code": "US",
            "telephone_number": "931-552-3292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 Parkway Pl",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370428402",
            "country_code": "US",
            "telephone_number": "931-552-3292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "JAMES",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-19",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "9492",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.