DR. CHARLES R. GRIFFITH (NPI# 1205891975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205891975 |
| Entity Type | Individual |
| Full Name | DR. CHARLES R. GRIFFITH |
| Credential | M.D. |
| Practice Address |
1560 Sumrall Rd Columbia MS 39429-2654 |
| Mailing Address |
Po Box 630 Columbia MS 39429-0630 |
| Practice Telephone | 6012612940 |
| Practice Fax Number | 6012612942 |
| Mailing Telephone | 6012612940 |
| Mailing Fax Number | 6012612942 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2015-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17786 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00126499 | 05 | |
| MS | AETNA | 7074524 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257453 | Charles Griffith | Case Manager/Care Coordinator | 3255 E Tahquitz Canyon Way, Palm Springs, CA 92262-6958 | 2018-06-05 |
| 1992893739 | Charles A. Griffith | Social Worker | 9340 Dixie Hwy, Clarkston, MI 48348-4215 | 2006-10-10 |
| 1508958026 | Charles E Griffith IIi | Internal Medicine | Rheumatology Associates of Baltimore LLC, 1220b East Joppa Road Suite 310, Baltimore, MD 21286-5704 | 2006-09-29 |
| 1235115569 | Charles R Griffith | Dentist | 1223 Scalp Ave, Johnstown, PA 15904-3150 | 2005-12-19 |
| 1720466675 | Charles A. Kip Griffith | Social Worker | 1206 W South Jordan Pkwy Ste D, South Jordan, UT 84095-5519 | 2015-05-12 |
| 1912962242 | Charles Henry Griffith Jr. | Pediatrics | 501 Bay St, Gadsden, AL 35901-5181 | 2006-04-19 |
| Street Address |
1560 SUMRALL RD |
| City | COLUMBIA |
| State | MS |
| Zip Code | 39429-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077051 | Alania Cedillo | Pharmacist | 1560 Sumrall Rd, Columbia, MS 39429-2654 | 2018-03-21 |
| 1386003937 | Allison Patterson | Nurse Practitioner | 1560 Sumrall Rd, Columbia, MS 39429-2654 | 2016-02-10 |
| 1780025809 | Billy Pearson | Nurse Practitioner | 1560 Sumrall Rd, Columbia, MS 39429-2654 | 2013-07-17 |
| 1003152141 | Forrest County General Hospital | Anesthesiology | 1560 Sumrall Rd, Columbia, MS 39429-2654 | 2012-12-18 |
| 1285907006 | Forrest County General Hospital | Anesthesiology | 1560 Sumrall Rd, Columbia, MS 39429-2654 | 2012-02-10 |
| 1609148170 | Forrest County General Hospital | Medicare Defined Swing Bed Unit | 1560 Sumrall Rd, Columbia, MS 39429-2654 | 2012-01-31 |
| 1427320993 | Forrest County General Hospital | General Acute Care Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 | 2012-01-31 |
| 1326216656 | Shirley P. Rowley | Nurse Anesthetist, Certified Registered | 1560 Sumrall Rd, Columbia, MS 39429-2654 | 2008-02-20 |
| 1851583314 | Robert W Gray | Radiologic Technologist | 1560 Sumrall Rd, Columbia, MS 39429-2654 | 2007-08-17 |
| 1922127885 | Mia Antionettte Luter | Physical Therapy Assistant | 1560 Sumrall Rd, Columbia, MS 39429-2654 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043793508 | Carlton Allen Lee | Driver | 105 Lampton Rd, Columbia, MS 39429 | 2018-09-11 |
| 1396232286 | Rose Thompson | Licensed Practical Nurse | 315 Lampton Hilltop Rd, Columbia, MS 39429 | 2018-04-17 |
| 1972020204 | Harry Lewis Speights Jr. | Pharmacist | Hwy 13 N. 1110 Suite 5, Columbia, MS 39429 | 2017-08-28 |
| 1134676208 | Friendship Mb Church Transportation | Non-emergency Medical Transport (VAN) | 141 Friendship Church Rd, Columbia, MS 39429 | 2016-09-07 |
| 1407232374 | Lakesha Shanell Franklin | Driver | 902 Sunset Circle, Columbia, MS 39429 | 2015-08-03 |
| 1427457084 | Forrest County General Hospital | Clinic/Center | 1560 Sumrall Road, Columbia, MS 39429 | 2014-08-20 |
| 1770873226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1028 Highway 98 Byp, Columbia, MS 39429 | 2011-04-18 |
| 1356651772 | 2nd Generation Healthcare, LLC | Skilled Nursing Facility | 11 Pecan Drive, Columbia, MS 39429 | 2010-10-19 |
| 1427367218 | Kerry M Easterling Sr. | Pharmacist | 1100 Hwy 13 North, Freds Pharmacy, Columbia, MS 39429 | 2010-09-28 |
| 1487887022 | Family Health Care Clinic, Inc. | Clinic/Center | 130 Lexie Road, Tylertown, MS 39429 | 2009-08-31 |
| Find all providers in zip 39429 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1457977563 | Jenny Tatiana Gonzalez Guzman | Family Medicine | Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-24 |
| 1942825500 | Jarvis Jamal Johnson | Family Medicine | Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-10 |
| 1386268183 | Nicolas Anthony Limogiannis | Family Medicine | Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-08 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1275177420 | Palmetto Primary Care Physicians | Family Medicine | 1415 Blanding St Ste 2, Columbia, SC 29201-2922 | 2019-10-31 |
| 1558919852 | Synergos Medical, LLC | Family Medicine | 1703 Oak Cliff Pl, Columbia, MO 65203-4719 | 2019-08-29 |
| 1972156982 | Maury Regional Medical Group, Inc | Family Medicine | 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 | 2019-07-18 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.