Robert Carl Griffith MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ROBERT CARL GRIFFITH MD

Practice address

6311 Kingston Pike Ste 22E
Knoxville, TN 37919-4900

Phone

(865) 588-1361

NPI assigned

Dec 27, 2018

Organization subpart

No

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

Authorized official

Name

Jill Keally

Title

Admin

Phone

(813) 416-6438

Specialties & licenses 1

Addresses

Other names 1

• ROBERT C. GRIFFITH, III, MD, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Carl Griffith III, MD

  • Dermatology Physician
  • Knoxville, TN
  • NPI 1689758138
  Medicare reassignment Care Compare group NPD
• Robert Denison Griffith, M.D.

  • Dermatology Physician
  • Knoxville, TN
  • NPI 1619235355
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1740752906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 22E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194900",
            "telephone_number": "865-588-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 22E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194900",
            "telephone_number": "865-588-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT CARL GRIFFITH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "KEALLY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "813-416-6438"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT C. GRIFFITH, III, MD, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Roberson
• Danielle Nicole Roberson, BA
• John Graham Roberson, BS
• Martin W Roberson, DDS
• Sandy Roberson, RN
• Maggie Ann Roberto
• Amanda Emory Roberts, FNP-BC
• Anne Sanchez Roberts, MD
• Briana Roberts, PA-C
• Caroline Elise Roberts, MD

• Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.