Individual provider Active NPI

Walter G Griffith Jr., M.D.

  • Psychiatry Physician
  • St Petersburg, FL
National Provider Identifier
1780792374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME61913 Issued in FL
Practice address
5565 Dr Martin Luther King Jr St N
St Petersburg, FL 33703-1203
Phone
(727) 577-1203
Fax
(727) 577-0983
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

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
Psychiatry Physician 2084P0800X ME61913 FL Primary

Addresses

Primary practice location

5565 Dr Martin Luther King Jr St N
St Petersburg, FL 33703-1203

Mailing address

PO Box 55156
St Petersburg, FL 33732-5156
Phone (727) 577-1203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081010000431 FL Practitioner - Psychiatry 0648348136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Walter G Griffith Jr MD PAGroup PAC ID 9537237029, 7 clinicians

Practice addresses (Care Compare)

5565 Dr MLK Jr St N
St Petersburg, FL 33703-1203
Phone (727) 577-1203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walter G Griffith Jr MD PA Psychiatry CurrentSince Feb 27, 2005 Accepting new patients
Dennis H. Kim MD LLC Current Accepting new patients

Locations

2555 Enterprise Rd
Ste 12
Clearwater, FL 33763
Phone (727) 496-2560

8916 77th Ter E
Unit 105
Lakewood Ranch, FL 34202
Phone (941) 999-2112

5565 Mlk Jr St N
St Petersburg, FL 33703
Phone (727) 577-1203

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780792374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55156",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337325156",
            "telephone_number": "727-577-1203",
            "fax_number": "727-577-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031203",
            "telephone_number": "727-577-1203",
            "fax_number": "727-577-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "WALTER",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME61913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.