Individual provider Active NPI

Stephen Griffin, PA-C

  • Surgical Physician Assistant
  • Austin, TX
National Provider Identifier
1700885654
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA04450 Issued in TX
Practice address
11675 Jollyville Rd
Ste 207
Austin, TX 78759-4105
Phone
(512) 856-1000
Fax
(512) 856-4040
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04450 TX
Surgical Physician Assistant 363AS0400X PA04450 TX Primary

Addresses

Primary practice location

11675 Jollyville Rd
Ste 207
Austin, TX 78759-4105

Mailing address

11675 Jollyville Rd
Ste 207
Austin, TX 78759-4105
Phone (512) 856-1000

Other practice location 1

6818 Austin Center Blvd Ste 200
Austin, TX 78731-3100
Phone (512) 856-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070226000781 TX Practitioner - Physician Assistant 2365544004 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joel H Hurt MD PLLCGroup PAC ID 2163842295, 15 clinicians

Practice addresses (Care Compare)

11675 Jollyville Rd
Suite 207
Austin, TX 78759-4105
Phone (512) 856-1000

1502 Blue Ridge Dr
Suite 201
Georgetown, TX 78626-1002
Phone (512) 856-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.17 of 100Reported as group
Quality
65.64
Improvement activities
40
Cost
56.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC CurrentSince Jan 28, 2017 Accepting new patients
Neurotexas, PLLC Past Accepting new patients
Robert D Graham, MD Past Accepting new patients

Locations

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

Interoperability endpoints

  • Direct secure messaging: stephen.griffin@hca8.eclinicaldirectplus.com

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 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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1700885654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11675 JOLLYVILLE RD",
            "address_2": "STE 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594105",
            "telephone_number": "512-856-1000",
            "fax_number": "512-856-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11675 JOLLYVILLE RD",
            "address_2": "STE 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594105",
            "telephone_number": "512-856-1000",
            "fax_number": "512-856-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6818 Austin Center Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787313100",
            "country_code": "US",
            "telephone_number": "512-856-1000",
            "fax_number": "512-856-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04450",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.