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RUSSELL GRIFFIN
NPI 1255033114
General Practice in Jb Andrews, MD

Active since March 21, 2023
1060 W PERIMETER RD, JB ANDREWS, MD 20762(240) 612-1757 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2025, Mar 21, 2023 (2 updates tracked since 2023).

About Russell Griffin NPPES

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

RUSSELL GRIFFIN (NPI 1255033114) is an individual general practice provider in Jb Andrews, Maryland, licensed in Maryland (D0102063) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1255033114
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameRUSSELL GRIFFIN
Location Address1060 W PERIMETER RDJb Andrews, MD 20762-6602
Mailing Address1060 W Perimeter RdJb Andrews, MD 20762-6602 · (240) 612-1757
Phone(240) 612-1757
Sole ProprietorYes
Enumeration DateMarch 21, 2023
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1255033114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MD · D0102063
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1060 W PERIMETER RD, Jb Andrews, MD 20762
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

CHELSEA BIANCA PAYNE M.D.
Family Medicine
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (907) 377-6722
MS. PATRICIA BANASZEK HAZARD CRNP
Nurse Practitioner (Obstetrics & Gynecology)
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1400
MR. KOMI VENUNYE GAYAKPA IDC
Military Health Care Provider (Independent Duty Corpsman)
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (651) 354-8825
AMANDA MARIE HAWKINS MD
Obstetrics & Gynecology
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1400
DR. JULIE ANN BANTA PT, DPT, FAAOMPT
Physical Therapist
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-2464
DR. SUBODH ARORA MD
Pediatrics
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (301) 404-9046
MR. JEREMY TROY POWELL PA-C
Physician Assistant
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1143
CASSANDRA VERHOFF MS, RD, LDN
Dietitian, Registered
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-2678

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 Russell Griffin's NPI number?

The NPI number for Russell Griffin is 1255033114. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Russell Griffin located?

Russell Griffin practices at 1060 W Perimeter Rd, Jb Andrews, MD 20762. The listed phone number is (240) 612-1757.

What is Russell Griffin's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Russell Griffin was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.