Organization Active NPI

Scott Griffith, M.D. P.C.

  • Family Medicine Physician
  • Johns Creek, GA
National Provider Identifier
1841748308
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36386 Issued in GA
Legal business name
SCOTT GRIFFITH, M.D. P.C.
Practice address
120 Keswick Way
Johns Creek, GA 30022-6315
Phone
(770) 410-1186
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Dr. Scott D Griffith, M.D.NPI 1124035290
Title
President
Phone
(678) 234-2332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 36386 GA Primary

Addresses

Primary practice location

120 Keswick Way
Johns Creek, GA 30022-6315

Mailing address

4310 Johns Creek Pkwy Ste 100
Suwanee, GA 30024-6092
Phone (678) 234-2332

Other identifiers 1

IdentifierTypeStateIssuer
0051828BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160927001904 GA Part B Supplier - Clinic/Group Practice 9032406509 Receives reassigned benefits from 1 practitioner
Practice locations: Suwanee, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1841748308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 JOHNS CREEK PKWY STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246092",
            "telephone_number": "678-234-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KESWICK WAY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226315",
            "telephone_number": "770-410-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT GRIFFITH, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-234-2332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "36386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051828B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.