Individual provider Active NPI

Rebecca Griffon, MD

  • Family Medicine Physician
  • Alton, IL
National Provider Identifier
1972232536
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125.080683 Issued in IL
Practice address
#4 Memorial Drive
Medical Office BLDG. B, Suite 115
Alton, IL 62002-6705
Phone
(618) 741-2122
NPI assigned
Jun 8, 2022
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2025011320 MO
Family Medicine Physician 207Q00000X 125.080683 IL Primary

Addresses

Primary practice location

#4 Memorial Drive
Medical Office BLDG. B, Suite 115
Alton, IL 62002-6705

Mailing address

2350 Homer Adams Pkwy
Alton, IL 62002-0800
Phone (618) 463-3505

Other practice location 1

1205 N Missouri St
Macon, MO 63552-2095
Phone (315) 785-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250918001705 MO Practitioner - Family Practice 6507245883 Reassigns benefits to 2 organizations
I20251210000948 IA Practitioner - Family Practice 6507245883 Reassigns benefits to 2 organizations
I20260622000394 IL Practitioner - Emergency Medicine 6507245883

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians
Story County HospitalGroup PAC ID 0547153884, shared by 5 NPIs, 16 clinicians

Practice addresses (Care Compare)

1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700

640 S 19TH St
Nevada, IA 50201-2902
Phone (515) 382-2111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.080683ILMDFamily Medicine Physician
2025011320MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Story County Hospital Family Medicine CurrentSince Nov 10, 2025 Accepting new patients
Story County Hospital CurrentSince Nov 10, 2025 Accepting new patients
Macon County Samaritan Hospital CurrentSince Aug 1, 2025 Accepting new patients

Locations

640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111

640 S 19th St
Ste 100
Nevada, IA 50201
Phone (515) 382-5413

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1972232536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 HOMER ADAMS PKWY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620020800",
            "telephone_number": "618-463-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#4 MEMORIAL DRIVE",
            "address_2": "MEDICAL OFFICE BLDG. B, SUITE 115",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026705",
            "telephone_number": "618-741-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 N Missouri St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "MO",
            "postal_code": "635522095",
            "country_code": "US",
            "telephone_number": "315-785-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFON",
        "first_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2025011320",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.080683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.