NPIMap

Individual provider Active NPI

Anthony M Griffin, MD

  • Internal Medicine Physician
  • Jacksonville, IL
National Provider Identifier
1770558603
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036084694 Issued in IL
Practice address
15 Founders LN Ste 100
Jacksonville, IL 62650-3924
Phone
(217) 243-0300
Fax
(217) 245-6775
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036084694 IL Primary

Addresses

Primary practice location

15 Founders LN Ste 100
Jacksonville, IL 62650-3924

Mailing address

15 Founders LN Ste 100
Jacksonville, IL 62650-3924
Phone (217) 243-0300

Other identifiers 1

IdentifierTypeStateIssuer
036084694OtherILMD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000081 IL Practitioner - Internal Medicine 7214821701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Physician ServicesGroup PAC ID 9032005681, 161 clinicians

Practice addresses (Care Compare)

15 Founders St
Suite 100
Jacksonville, IL 62650-3918
Phone (217) 243-0300

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Springfield, IL, CCN 147708
  • Elara Caring V Home health agency, Springfield, IL, CCN 148086
  • Residential Home Health of Southern Illinois Home health agency, Glen Carbon, IL, CCN 147039
  • Greene County Health Dept Home health agency, Carrollton, IL, CCN 147091
  • Memorial Home Services Home health agency, Springfield, IL, CCN 147003
  • Hospice Care of Illinois Hospice, Springfield, IL, CCN 141540
  • Memorial Medical Center Hospital, Springfield, IL, CCN 140148
  • Jacksonville Memorial Hospital Hospital, Jacksonville, IL, CCN 141352
  • Thomas H Boyd Memorial Hospital Hospital, Carrollton, IL, CCN 141300

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
71.79
Promoting interoperability
77
Improvement activities
40
Cost
75.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Physician Services CurrentSince Jan 1, 2013 Accepting new patients
Memorial Health Partners Current Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Memorial Physician Services Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Memorial Physician Services Current Accepting new patients
Family Medical Center of Chatham, LLC Current Accepting new patients
Memorial Expresscare, LLC Internal Medicine Past Accepting new patients
Cogent Healthcare of Illinois, LLC Internal Medicine Past Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1606 W Lafayette Ave
Ste A
Jacksonville, IL 62650
Phone (217) 243-4313

15 Founders Ln
Ste 100
Jacksonville, IL 62650
Phone (217) 243-0300

1606 W Lafayette Ave
Jacksonville, IL 62650
Phone (217) 243-9091

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

Interoperability endpoints

  • Direct secure messaging: anthonygriffin@sfc.allscriptsdirect.net
  • Direct secure messaging: anthonygriffin@memorial.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial Physician ServicesPetersburg, IL, CCN 143936 Rural health clinic Corporate Director Jan 10, 2018
Memorial Physician ServicesLincoln, IL, CCN 143895 Rural health clinic Corporate Director Jan 10, 2018
Memorial Physician ServicesJacksonville, IL, CCN 148905 Rural health clinic Corporate Officer
Corporate Director		 Jan 10, 2018
Jan 10, 2018
Memorial Physician ServicesBeardstown, IL, CCN 783854 Rural health clinic Corporate Officer
Corporate Director		 Jan 10, 2018
Jan 10, 2018
Memorial Physician ServicesJacksonville, IL, CCN 783865 Rural health clinic Corporate Director Jan 10, 2018

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 9

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1770558603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FOUNDERS LN STE 100",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503924",
            "telephone_number": "217-243-0300",
            "fax_number": "217-245-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FOUNDERS LN STE 100",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503924",
            "telephone_number": "217-243-0300",
            "fax_number": "217-245-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036084694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "036084694",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, IL

Sources for this page

Verify at the official NPI Registry.