Desmond Jamal Griffin Sr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

17098 Issued in GA

Practice address

3800 Camp Creek Pkwy SW BLDG 1400-116
Atlanta, GA 30331-6045

Phone

(504) 418-1117

NPI assigned

Sep 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Prime EMS Inc

  • Land Ambulance
  • Peachtree Corners, GA
  • NPI 1538899547
  NPD Authorized official
• Providence Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Atlanta, GA
  • NPI 1982193165
  NPD Authorized official

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1902520331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 CAMP CREEK PKWY SW BLDG 1400-116",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316045",
            "telephone_number": "504-418-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 CAMP CREEK PKWY SW BLDG 1400-116",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316045",
            "telephone_number": "504-418-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Clyde Fant Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711013265",
            "country_code": "US",
            "telephone_number": "504-418-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DESMOND",
        "middle_name": "JAMAL",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "17098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Griffin, FNP-C
• Candice Griffin
• Chancey Jenae Griffin, LPN
• Colby Lewis Griffin, DPT
• Davianna K Griffin
• Edmond I. Griffin, M.D.
• Gerald Leroy Griffin, RPH
• Halley Griffin, LCSW
• Jackie Griffin, RN
• James Parker Griffin Jr., PH.D.

• All providers in Atlanta, GA
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.