Individual provider Active NPI

Keith Evans Griffin, MD

  • Internal Medicine Physician
  • Concord, NC
National Provider Identifier
1962472415
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34541 Issued in NC
Practice address
5325 Vinning St NW
Suite 101
Concord, NC 28027-2942
Phone
(704) 316-1040
Fax
(704) 316-1041
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34541 NC Primary

Addresses

Primary practice location

5325 Vinning St NW
Suite 101
Concord, NC 28027-2942

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-1040

Other identifiers 1

IdentifierTypeStateIssuer
8937233MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgriffin615@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060911000295 NC Practitioner - Internal Medicine 3476557281 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

19830 Zion Ave
Cornelius, NC 28031-8495
Phone (704) 384-1782

3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179
Phone (980) 302-8850

5325 Vinning NWST
Suite 101
Concord, NC 28027-2956
Phone (704) 316-1040

548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271

6604 Roberta Rd
Harrisburg, NC 28075-9532
Phone (419) 221-6717

Hospital & facility affiliations

  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2006 Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 3, 2019 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 3, 2019 Accepting new patients
NH Digital Health Services, LLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187

200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

10816 Black Dog Ln
Ste 160
Charlotte, NC 28214
Phone (704) 316-3970

1918 Randolph Rd
Ste 175
Charlotte, NC 28207
Phone (704) 316-1050

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

19485 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5170

19830 Zion Ave
Cornelius, NC 28031
Phone (704) 384-1782

269 Gillman Rd
Ste 100
Denver, NC 28037
Phone (704) 316-4930

6909 Prosperity Church Rd
Huntersville, NC 28078
Phone (704) 316-1830

14330 Oakhill Park Ln
Ste 200B
Huntersville, NC 28078
Phone 7043161265 ext. 6856

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 11

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1962472415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-1040",
            "fax_number": "704-316-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 VINNING ST NW",
            "address_2": "SUITE 101",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272942",
            "telephone_number": "704-316-1040",
            "fax_number": "704-316-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KEITH",
        "middle_name": "EVANS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "34541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937233",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgriffin615@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "5325 Vinning St NW",
            "address_2": "Suite 101",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280272942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.