MARY JANE GRIFFITH (NPI# 1548596042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548596042 |
| Entity Type | Individual |
| Full Name | MARY JANE GRIFFITH |
| Credential | APRN |
| Practice Address |
920 Doug White Dr Ste 250 Myrtle Beach SC 29572-4120 |
| Practice Telephone | 8432361950 |
| Practice Fax Number | 8432361952 |
| Mailing Telephone | 8432361950 |
| Mailing Fax Number | 8432361952 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
17481 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024168131 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PENDING | 1548596042 | 01 |
| SC | NP1872 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Ltc Health Solutions, 809 82nd Parkway, Myrtle Beach, SC 295724607 | 8436921000 | 8433532581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235267725 | Mary E. Griffith | Counselor | 1209 Sweetgum St, Moore, OK 73160-8223 | 2007-02-28 |
| 1366512097 | Mary Beth Griffith | Registered Nurse | 10065 E Harvard Avenue, Suite 400, Denver, CO 80231 | 2006-11-09 |
| 1053973560 | Mary Elizabeth Griffith | Behavior Technician | 2430 Nw Myhre Rd Ste 100, Silverdale, WA 98383-7669 | 2019-07-03 |
| 1972016962 | Mary Griffith | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2017-11-13 |
| 1700314051 | Mary Griffith | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2017-05-31 |
| 1235514506 | Mary Griffith | Pharmacist | 4020 Milan Rd, Sandusky, OH 44870-5892 | 2015-07-28 |
| 1750604013 | Mary Ann Griffith | Counselor | 691 N Bridge St, Yorkville, IL 60560-1104 | 2010-03-01 |
| 1386788701 | Mary Helen Griffith | Social Worker | 930 E Knapp St, Milwaukee, WI 53202-2896 | 2007-02-18 |
| 1124099494 | Mary M. Griffith | Pediatrics | 1351 Westgate Center Dr, Winston Salem, NC 27103-2934 | 2006-01-27 |
| 1508866591 | Mary Kathryn Griffith | Nurse Practitioner | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2005-07-30 |
| Street Address |
920 DOUG WHITE DR STE 250 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578552410 | Jerry Burton Banks | Family Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2005-10-13 |
| 1538573670 | Stephen Meyer | Internal Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2014-06-17 |
| 1295097491 | Jilian Rinehart Sansbury | Internal Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2012-06-13 |
| 1427328533 | Anthony Shadiack | Family Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2012-01-05 |
| 1447581301 | Vinh Tran Trinh | Internal Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2010-01-15 |
| 1043402480 | Andrew Peter Mangano | Internal Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2007-08-09 |
| 1215010020 | Sean L. Gibbs | Family Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2006-10-23 |
| 1265474324 | Kevin W Shea | Internal Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2006-06-12 |
| 1932140092 | Mark Richard Gobin | Internal Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2006-06-09 |
| 1396782900 | Victor Eugene Collier | Internal Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053384537 | Robin H Starr | Nurse Practitioner | 603 Chestnut Rd, Myrtle Beach, SC 29572-5503 | 2006-02-07 |
| 1578518429 | Nancy Tansey | Nurse Practitioner | 8216 Devon Ct, Myrtle Beach, SC 29572-4178 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043152 | Lorenzo Ford | Nurse Practitioner | 20 Pioneer Ct, Sumter, SC 29150-9559 | 2020-08-13 |
| 1407484041 | Vistina Metts Johnson | Nurse Practitioner | 121 Executive Center Dr Ste 131, Columbia, SC 29210-8492 | 2020-03-30 |
| 1154969012 | William R. Andrews | Nurse Practitioner | 1516 Old Trolley Rd Ste 101, Summerville, SC 29485-8345 | 2019-12-11 |
| 1265078570 | Paula Nicole Allen | Nurse Practitioner | 133 Beaver Dam Rd, Columbia, SC 29223-3101 | 2019-11-21 |
| 1306497557 | Dina Martin | Nurse Practitioner | 171 Monroe Ln, Lexington, SC 29072-3904 | 2019-09-27 |
| 1053801720 | Kristin Marie Scarborough | Nurse Practitioner | 1470 Tobias Gadson Blvd Ste 203, Charleston, SC 29407-4925 | 2018-05-17 |
| 1922511054 | Anne Louise Grogan-hanford | Nurse Practitioner | 1317 Quail Vly W, Columbia, SC 29212-1554 | 2017-11-11 |
| 1972941821 | Jeanne Cameron Gonzalez | Nurse Practitioner | 504 Huntington Rd, Greenville, SC 29615-4212 | 2013-06-12 |
| 1861676942 | Mary Ellen Sullivan | Nurse Practitioner | 304 E Market St, Agape Physicians Care, Bennettsville, SC 29512-3137 | 2007-12-25 |
| 1508839739 | Vanessa Thompson | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2006-02-08 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
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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.