Active NPI
Stephen Patrick Griffith, MD
- General Practice Physician
- New Smyrna Beach, FL
National Provider Identifier
1902883200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME93277
- Practice address
- 4150 S Atlantic Ave Apt 111a
New Smyrna Beach, FL 32169-3761 - Phone
- (321) 514-1774
- NPI assigned
- Dec 28, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | ME93277 | FL | |
| Legal Medicine (M.D./D.O.) Physician | 209800000X | ME93277 | FL | |
| General Practice Physician | 208D00000X | ME93277 | FL | Primary |
Addresses
Primary practice location
4150 S Atlantic Ave Apt 111a
New Smyrna Beach, FL 32169-3761
Mailing address
PO Box 541162
Merritt Island, FL 32954-1162
Phone (321) 514-1774
Other practice location 1
870 York St
San Francisco, CA 94110-2843
Phone (855) 527-1850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2437858 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MO, AK, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME93277 | FL | MD | Legal Medicine (M.D./D.O.) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Nes Washington, Inc. | Emergency Medicine | Current | Accepting new patients |
| Guidewell Emergency Medicine Doctors, LLC | Current | Accepting new patients | |
| Capital Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Samaritan Emergency Corp | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
Locations
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
113 N Orlando Ave
Winter Park, FL 32789
Phone (407) 801-8400
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Jefferson City, MO
- NPI 1871626309
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- Emergency Medicine Physician
- Ketchikan, AK
- NPI 1215239595
-
- Radiology Clinic/Center
- Winter Park, FL
- NPI 1639973555
-
- Emergency Medicine Physician
- Barnesville, OH
- NPI 1043699200
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1922084136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1902883200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 541162",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329541162",
"telephone_number": "321-514-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 S ATLANTIC AVE APT 111A",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321693761",
"telephone_number": "321-514-1774"
}
],
"practiceLocations": [
{
"address_1": "870 York St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941102843",
"country_code": "US",
"telephone_number": "855-527-1850",
"fax_number": "650-360-0447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFITH",
"first_name": "STEPHEN",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "FL",
"license": "ME93277",
"primary": false
},
{
"code": "209800000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "FL",
"license": "ME93277",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME93277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2437858",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.