Individual provider Active NPI

Clifford Stanley Griffin Sr., DC

  • Chiropractor
  • Gainesville, GA
National Provider Identifier
1720145352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2451 Issued in GA
Practice address
700 S Enota Dr
Gainesville, GA 30501
Phone
(770) 532-4084
Fax
(770) 532-9857
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2451 GA Primary

Addresses

Primary practice location

700 S Enota Dr
Gainesville, GA 30501

Mailing address

700 S Enota Dr
Gainesville, GA 30501
Phone (770) 532-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000787 GA Practitioner - Chiropractic 7315105442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

810 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3831
Phone (770) 532-4084

PO Box
Suite 909633
Gainesville, GA 30501-0942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2451GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Chiropractic Clinic, Inc. Chiropractor CurrentSince Jul 1, 1966 Accepting new patients

Locations

810 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 532-4084

700 S Enota Dr NE
Ste 201
Gainesville, GA 30501
Phone (770) 532-4084

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720145352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S ENOTA DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-532-4084",
            "fax_number": "770-532-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S ENOTA DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-532-4084",
            "fax_number": "770-532-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "CLIFFORD",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.