Individual provider Active NPI

Jennifer Thomas Griffin, D. P. M.

  • Podiatrist
  • Jenison, MI
National Provider Identifier
1679655054
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002666 Issued in MI
Practice address
1344 Chevelle Dr
Jenison, MI 49428-9565
Phone
(616) 274-7258
NPI assigned
Oct 19, 2006
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002666 MI Primary

Addresses

Primary practice location

1344 Chevelle Dr
Jenison, MI 49428-9565

Mailing address

203 Kings Row
Malakoff, TX 75148-9358
Phone (972) 971-7085

Other names 1

  • Dr. Jennifer Lynn Thomas Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180719002025 MI Practitioner - Podiatry 7315850591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1344 Chevelle Dr
Jenison, MI 49428-9565
Phone (616) 274-7236

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue413
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002666MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
L D Hayes DPM & Associates PA Single Specialty PastSince Jan 2, 2008 Accepting new patients
Advanced Center for the Evaluation of Foot and Ankle Pain LLC Single Specialty Past Accepting new patients
Agape Foot Care PA Single Specialty PastSince Dec 1, 2025 Accepting new patients
T.L. Care, Inc. Single Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1679655054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 KINGS ROW",
            "city": "MALAKOFF",
            "state": "TX",
            "postal_code": "751489358",
            "telephone_number": "972-971-7085",
            "fax_number": "903-489-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 CHEVELLE DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289565",
            "telephone_number": "616-274-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JENNIFER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D. P. M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "THOMAS",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jenison, MI

Sources for this page

Verify at the official NPI Registry.