DR. BRENT THOMAS GRIFFIN (M.D.) – Allergy & Immunology (Internal Medicine) Physician, NPI 1104208743

DR. BRENT THOMAS GRIFFIN (M.D.) is a healthcare provider. based in Fort stewart, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 78438 (GA). The NPI Number for DR. BRENT THOMAS GRIFFIN (M.D.) is 1104208743

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT THOMAS GRIFFIN (M.D.)
NPI
1104208743
Phone
(912) 435-6965
Address
1061 HARMON AVE
Enumeration Date
19 June 2015
Last Update Date
6 May 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
7068685676
Graduation Year
2015 (11 years ago)
PAC ID
0446554182
Group Practice PAC ID
9537156484
Professional Enrollment ID
I20201015002370
Address ID
GA308093000EV340XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

Provider Addresses for DR. BRENT THOMAS GRIFFIN (M.D.)

  • 1061 HARMON AVE

    FORT STEWART, GA 313145641

    Phone: (912) 435-6965

    Type: Mailing

  • 340 N BELAIR RD

    EVANS, GA 308093000

    Phone: (706) 868-5676

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $674.

Total Amount is formed as General ($674) + Research ($0) + Ownership ($0) = $674.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: GENZYME CORPORATION ($244).

Total Amount

$674

General + Research + Ownership

Payments

21

Total payment records

General Amount

$674

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201015002370IInternal MedicineGATBD
I20230726000869IInternal MedicineSCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95165Professional service for preparation and provision of 1 or more antigens70564$0
95117Professional service for multiple injections of allergen8763$0
95115Professional service for single injection of allergen2016$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 31314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537156484View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YGA
O T O L A R Y N G O L O G YGA
O T O L A R Y N G O L O G YGA
O T O L A R Y N G O L O G YGA
O T O L A R Y N G O L O G YGA
A L L E R G Y/ I M M U N O L O G YGA
Physician AssistantGA
Qualified AudiologistGA
O T O L A R Y N G O L O G YGA
O T O L A R Y N G O L O G YGA

Reviews

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Frequently asked questions

What is DR. BRENT THOMAS GRIFFIN (M.D.)'s NPI number?
DR. BRENT THOMAS GRIFFIN (M.D.)'s NPI is 1104208743 — the number used across U.S. healthcare to identify this provider.
Is DR. BRENT THOMAS GRIFFIN (M.D.) still an active registrant?
DR. BRENT THOMAS GRIFFIN (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. BRENT THOMAS GRIFFIN (M.D.)?
DR. BRENT THOMAS GRIFFIN (M.D.)'s specialty line reads Allergy & Immunology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. BRENT THOMAS GRIFFIN (M.D.) associated with Fort Stewart?
Public fields place DR. BRENT THOMAS GRIFFIN (M.D.) around Fort Stewart, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. BRENT THOMAS GRIFFIN (M.D.) is noted as June 19, 2015 where the registry provides it.

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