Active NPI
Joe Kenneth Griffin Jr., M.D.
- Internal Medicine Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 38501
- Practice address
- 1326 Eisenhower Dr
Savannah, GA 31406-3928 - Phone
- (912) 691-4100
- Fax
- (912) 691-4289
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 38501 | GA | Primary |
Addresses
Primary practice location
1326 Eisenhower Dr
Savannah, GA 31406-3928
Mailing address
1326 Eisenhower Dr
Savannah, GA 31406-3928
Phone (912) 691-4100
Other practice location 1
1900 Abercorn St
Savannah, GA 31401-8136
Phone (912) 819-1501
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000621387C | Medicaid | GA | |
| 110193753 | Other | GA | RR MEDICARE |
| G38501 | Medicaid | SC | |
| 617450 | Other | GA | BLUECROSS BLUESHIELD |
Other names 1
- Dr. Kenneth Griffin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of South Alabama College of Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285
1326 Eisenhower Dr
Savannah, GA 31406-3928
1900 Abercorn St
Savannah, GA 31401-8139
Phone (912) 819-1501
Hospital & facility affiliations
- Candler Hospital
- St Joseph'S Hospital - Savannah
- Savannah Health Services LLC Dba Memorial Health University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38501 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
Locations
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
1326 Eisenhower Dr
#1
Savannah, GA 31406
Phone (912) 691-4100
1326 Eisenhower Dr
Savannah, GA 31406
Phone (912) 691-4100
1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- joe.griffin.1@8042.direct.athenahealth.com
- jkennethgriffinjr@scmgllc.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Case Manager/Care Coordinator
- Savannah, GA
- NPI 1477695427
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1831198696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-691-4100",
"fax_number": "912-691-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-691-4100",
"fax_number": "912-691-4289"
}
],
"practiceLocations": [
{
"address_1": "1900 Abercorn St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314018136",
"country_code": "US",
"telephone_number": "912-819-1501",
"fax_number": "912-232-9138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFIN",
"first_name": "JOE",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "38501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000621387C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110193753",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G38501",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "617450",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KENNETH",
"last_name": "GRIFFIN",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.