Individual provider Active NPI

Robert Carl Griffith III, MD

  • Dermatology Physician
  • Knoxville, TN
National Provider Identifier
1689758138
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD10201 Issued in TN
Practice address
6311 Kingston Pike
Suite 22E
Knoxville, TN 37919
Phone
(865) 588-1361
Fax
(865) 584-7087
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD10201 TN Primary

Addresses

Primary practice location

6311 Kingston Pike
Suite 22E
Knoxville, TN 37919

Mailing address

6311 Kingston Pike
Suite 22E
Knoxville, TN 37919
Phone (865) 588-1361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120125000466 TN Practitioner - Dermatology 2062689490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Carl Griffith MDGroup PAC ID 8729408034, 2 clinicians

Practice addresses (Care Compare)

6311 Kingston Pike
Suite 22E
Knoxville, TN 37919-4900
Phone (865) 588-1361

Hospital & facility affiliations

  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

Merit-based Incentive Payment System (MIPS)

Final score
86.68 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
70.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions2756
Removal of nail tissue1-10
Removal or shaving of skin growth26
Skin biopsy224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10201TNMDDermatology Physician
10201TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Carl Griffith MD CurrentSince Oct 1, 2020 Accepting new patients

Locations

6311 Kingston Pike
Ste 22E
Knoxville, TN 37919
Phone (865) 588-1361

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1689758138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE",
            "address_2": "SUITE 22E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-588-1361",
            "fax_number": "865-584-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE",
            "address_2": "SUITE 22E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-588-1361",
            "fax_number": "865-584-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "ROBERT",
        "middle_name": "CARL",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD10201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.