DR. JORDAN BRYAN GRIFFIN M.D.
NPI 1699122648
Student in an Organized Health Care Education/Training Program in Texarkana, AR

Q: What is Jordan Griffin's NPI number?

The NPI number for Jordan Griffin is 1699122648. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Q: What is Jordan Griffin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Griffin was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 19, 2016PECOS Enrolled

3417 U OF A WAY, TEXARKANA, AR 71854(870) 779-6064 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2023, May 19, 2016 (2 updates tracked since 2016).

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About Dr. Jordan Bryan Griffin M.d. NPPES

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

DR. JORDAN BRYAN GRIFFIN M.D. (NPI 1699122648) is an individual student in an organized health care education/training program in Texarkana, Arkansas and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699122648

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JORDAN BRYAN GRIFFINCredential: M.D.

Location Address3417 U OF A WAYTexarkana, AR 71854-1419

Mailing Address3417 U Of A WayTexarkana, AR 71854-1419 · (870) 779-6000 · Fax (870) 779-6055

Phone(870) 779-6064

Sole ProprietorNo

Enumeration DateMay 19, 2016

Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration

NPPES CertifiedMarch 31, 2023

✔ NPI 1699122648 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.

3417 U OF A WAY, Texarkana, AR 71854

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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)

Dr. Jordan Bryan Griffin M.d. 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.

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