DR. JACK GRIFFETH (M.D.) – Radiation Oncology Physician, NPI 1548262561
Radiation Oncology Physician
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Profile Insights
NPPES metrics only — not quality of care.
203 RADIATION ONCOLOGY in GA
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Provider Addresses for DR. JACK GRIFFETH (M.D.)
2864 JOHNSON FERRY RD
SUITE 150
MARIETTA, GA 300625635
Phone: (770) 693-2622
Fax: (770) 693-6039
Type: Mailing
PO BOX 742616
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
Northeast Georgia Medical Center, 743, Spring Street Northeast, Gainesville, Hall County, Georgia, 30501, United States
GAINESVILLE, GA 305013715
Phone: (770) 219-1824
Fax: (770) 219-7787
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $1,677.
Total Amount is formed as General ($1,677) + Research ($0) + Ownership ($0) = $1,677.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($550).
Total Amount
$1,677
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,677
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, Inc. | $550 |
| BIOPROTECT MEDICAL, INC. | $261 |
| Elekta, Inc. | $168 |
| Theragenics Corporation | $159 |
| Siemens Medical Solutions USA, Inc. | $156 |
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: 2008-04-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080410000056 | I | Radiation Oncology | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 86 | 44 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 28 | 22 | $0 |
| 77772 | High dose radiation therapy, more than 12 channels | 22 | 12 | $0 |
| 55876 | Placement of device in prostate for radiation therapy | 18 | 17 | $0 |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 18 | 13 | $0 |
Insurance plans in this area (ZIP 30062)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RADIATION ONCOLOGY | GA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 17 | 17 |
| RADIATION ONCOLOGY | GA | 77263 | Management of radiation therapy, complex | 19 | 19 |
| RADIATION ONCOLOGY | GA | 77300 | Calculation of radiation therapy dose | 290 | 57 |
| RADIATION ONCOLOGY | GA | 77427 | Radiation treatment management, 5 treatments | 19 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| - | GA | |
| A N E S T H E S I O L O G Y | GA | |
| - | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Surgical Oncology, General Surgery | NJ | |
| Pulmonary Disease | NY |
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