Provider Demographics
NPI:1184677999
Name:GRIFFITH, JAMES LAWSON (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LAWSON
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 HEMLOCK ST
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2102
Mailing Address - Country:US
Mailing Address - Phone:478-633-1000
Mailing Address - Fax:
Practice Address - Street 1:777 HEMLOCK ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2102
Practice Address - Country:US
Practice Address - Phone:478-633-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12085207RG0100X
GA67128207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00233459OtherRAILROAD MEDICARE
AL051521610OtherBCBS ALABAMA
GA571419209AMedicaid
GA571419209BMedicaid
AL051001830OtherBLUE CROSS BLUE SHIELD
AL051556209Medicaid
151777OtherUNITED HEALTHCARE
151777OtherUNITED HEALTHCARE
AL051556209Medicare PIN
00233459OtherRAILROAD MEDICARE
AL051521610Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER