Physician Compare National (NPI:1124035290)

HEALTHCARE PROVIDER: SCOTT DEE GRIFFITH MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124035290
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385744846
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110720000512
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRIFFITH
	Individual professional last name
Provider First Name	SCOTT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4310 JOHNS CREEK PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	SUWANEE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	300246092
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHSIDE HOSPITAL FORSYTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110161
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTHSIDE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y