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JUSTIN GRIFFIN
NPI 1053149203
Student in an Organized Health Care Education/Training Program in Sierra Vista, AZ

Active since July 22, 2024PECOS Enrolled
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635(520) 263-3161 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Jul 22, 2024 (2 updates tracked since 2024).

About Justin Griffin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN GRIFFIN (NPI 1053149203) is an individual student in an organized health care education/training program in Sierra Vista, Arizona and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053149203
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN GRIFFIN
Location Address5700 E HIGHWAY 90Sierra Vista, AZ 85635-9110
Mailing Address5700 E Highway 90Sierra Vista, AZ 85635-9110 · (520) 263-3161
Phone(520) 263-3161
Sole ProprietorNo
Enumeration DateJuly 22, 2024
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1053149203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5700 E HIGHWAY 90, Sierra Vista, AZ 85635
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Griffin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMMAD RAINA
Internal Medicine
5700 E HIGHWAY 90
SIERRA VISTA, AZ 85635
Cochise County (520) 263-2000
CHARLES B WHITBY JR. CRNA
Nurse Anesthetist, Certified Registered
5700 E HIGHWAY 90
SIERRA VISTA, AZ 85635
Cochise County (520) 226-4338
DR. MAXIM FAYEZ KAMAL ABU JOUDEH MD
Internal Medicine
5700 E HIGHWAY 90
SIERRA VISTA, AZ 85635
Cochise County (520) 263-3190
ANNA KATARZYNA KEEFE R.D.
Dietitian, Registered
5700 E HIGHWAY 90
SIERRA VISTA, AZ 85635
Cochise County (520) 263-3835
ROBIN THOMAS SCHOBERT CRNA
Nurse Anesthetist, Certified Registered
5700 E HIGHWAY 90
SIERRA VISTA, AZ 85635
Cochise County (520) 263-2000
RICARDO DIAS GONCALVES SPAID MD
Internal Medicine
5700 E HIGHWAY 90
SIERRA VISTA, AZ 85635
Cochise County (520) 263-2000
DR. CHARLES SHAW DO
Student in an Organized Health Care Education/Training Program
5700 E HIGHWAY 90
SIERRA VISTA, AZ 85635
Cochise County (480) 760-5705
RCHP-SIERRA VISTA INC
Dietitian, Registered
5700 E HIGHWAY 90
SIERRA VISTA, AZ 85635
Cochise County (520) 417-3001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Griffin's NPI number?

The NPI number for Justin Griffin is 1053149203. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Justin Griffin located?

Justin Griffin practices at 5700 E Highway 90, Sierra Vista, AZ 85635. The listed phone number is (520) 263-3161.

What is Justin Griffin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Griffin enrolled in Medicare?

Yes. Justin Griffin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Griffin was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.