Active NPI
John G. Griffith, M.D.
- Urology Physician
- Bristol, TN
National Provider Identifier
1760435515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25475
- Practice address
- 28 Midway St
Suite 105
Bristol, TN 37620-1706 - Phone
- (423) 573-8100
- Fax
- (423) 573-8102
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 25475 | TN | Primary |
Addresses
Primary practice location
28 Midway St
Suite 105
Bristol, TN 37620-1706
Mailing address
28 Midway St
Bristol, TN 37620-1706
Phone (423) 573-8100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007500319 | Medicaid | VA | |
| 3044711 | Other | TN | BLUECROSS BLUESHIELD |
| 0213340004 | Other | DMERC | |
| 3084126 | Medicaid | TN | |
| 086649 | Other | VA | ANTHEM |
| 62086999804 | Other | JOHN DEERE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25475 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1760435515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 MIDWAY ST",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201706",
"telephone_number": "423-573-8100",
"fax_number": "423-573-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MIDWAY ST",
"address_2": "SUITE 105",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201706",
"telephone_number": "423-573-8100",
"fax_number": "423-573-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "JOHN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "25475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007500319",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "3044711",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0213340004",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3084126",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "086649",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "62086999804",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.