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DR. JUSTIN WALLACE GRIFFIN DMD
NPI 1417114844
Dentist - General Practice in Columbia, SC

Active since May 22, 2008Opted out of Medicare · through Sep 16, 2027
10136 TWO NOTCH RD, SUITE 5, COLUMBIA, SC 29229(803) 788-0099(803) 788-0040 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Justin Wallace Griffin Dmd NPPES

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

DR. JUSTIN WALLACE GRIFFIN DMD (NPI 1417114844) is an individual general practice provider in Columbia, South Carolina, licensed in South Carolina (3770) and active in the NPI registry since May 2008. He has opted out of Medicare through September 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417114844
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUSTIN WALLACE GRIFFINCredential: DMD
Location Address10136 TWO NOTCH RD, SUITE 5Columbia, SC 29229-4389
Mailing Address5 Abbeyhill CtColumbia, SC 29229-7423 · (803) 462-0092 · Fax (803) 788-0099
Phone(803) 788-0099
Fax(803) 788-0040
Sole ProprietorYes
Enumeration DateMay 22, 2008
✔ NPI 1417114844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 3770
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10136 TWO NOTCH RD, Columbia, SC 29229
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Justin Wallace Griffin Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 16, 2015 through September 16, 2027.

Opt-Out Effective DateSeptember 16, 2015
Opt-Out In Effect ThroughSeptember 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

EYEMART EXPRESS LTD
Eyewear Supplier
10136 TWO NOTCH RD, SUITE 107D
COLUMBIA, SC 29229
Richland County (803) 477-3105
ABBY LEE PEACOCK PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10136 TWO NOTCH RD
COLUMBIA, SC 29229
Richland County (803) 788-4141
THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
10136 TWO NOTCH RD
COLUMBIA, SC 29229
Richland County (803) 788-4141
DR. KIMBERLY KELLY POVERUD PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10136 TWO NOTCH RD
COLUMBIA, SC 29229
Richland County (803) 788-4141
EDDIS OPHTHALMIC SERVICES, LLC
Optometrist
10136 TWO NOTCH RD, SUITE 107D
COLUMBIA, SC 29229
Richland County (803) 760-7082
JESSICA SANDERSON FELDER
Pharmacist
10136 TWO NOTCH RD
COLUMBIA, SC 29229
Richland County (803) 788-4141
EYEMART EXPRESS LLC
Eyewear Supplier
10136 TWO NOTCH RD, SUITE 107D
COLUMBIA, SC 29229
Richland County (803) 667-4311

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 1417114844. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Justin Griffin located?

Justin Griffin practices at 10136 Two Notch Rd Suite 5, Columbia, SC 29229. The listed phone number is (803) 788-0099.

What is Justin Griffin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Justin Griffin enrolled in Medicare?

No. Justin Griffin has opted out of Medicare through September 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Justin Griffin was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.