Active NPI
Kenn E Griffith, M.D.
- Gastroenterology Physician
- Rome, GA
National Provider Identifier
1992769079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 023973
- Practice address
- 11 John Maddox Dr NW
Rome, GA 30165-1413 - Phone
- (706) 295-3992
- Fax
- (706) 378-5582
- NPI assigned
- Apr 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 023973 | GA | Primary |
Addresses
Primary practice location
11 John Maddox Dr NW
Rome, GA 30165-1413
Mailing address
11 John Maddox Dr NW
Rome, GA 30165-1413
Phone (706) 295-3992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00289759C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023973 | GA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992769079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 JOHN MADDOX DR NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651413",
"telephone_number": "706-295-3992",
"fax_number": "706-378-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 JOHN MADDOX DR NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651413",
"telephone_number": "706-295-3992",
"fax_number": "706-378-5582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "KENN",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "023973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00289759C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.