MR. JACOB RYAN GRIFFITH – Physician Assistant, NPI 1023553872

MR. JACOB RYAN GRIFFITH is a healthcare provider. based in Knoxville, Tennessee. specializing in PHYSICIAN ASSISTANT. The NPI Number for MR. JACOB RYAN GRIFFITH is 1023553872

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACOB RYAN GRIFFITH
NPI
1023553872
Phone
(865) 632-5900
Address
9125 CROSS PARK DR STE 200
Enumeration Date
4 January 2017
Last Update Date
18 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
6406131648
Group Practice PAC ID
7810809076
Professional Enrollment ID
I20220912003209
Address ID
IA504012800MA1000XSWXX400

Contacts

Secure Messaging
griffith.jacob@covenanthealth.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:9State licenses:0Other namesUpdated within 12 months

3,118 PHYSICIAN ASSISTANT in TN

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Provider Addresses for MR. JACOB RYAN GRIFFITH

  • Cross Park Drive, Green Valley, Knoxville, Knox County, Tennessee, 37923, United States

    KNOXVILLE, TN 379234563

    Phone: (865) 632-5900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $334.

Total Amount is formed as General ($334) + Research ($0) + Ownership ($0) = $334.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Getinge USA Sales, LLC ($242).

Total Amount

$334

General + Research + Ownership

Payments

10

Total payment records

General Amount

$334

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-09-12

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
I20170330000803IPhysician AssistantTNTBD
I20220912003209IPhysician AssistantIATBD

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
33533Coronary artery bypass using artery graft, 1 graft1515$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 37923)

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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: 7810809076View full group profile
NameSpecialtyState
P S Y C H I A T R YIA
-IA
-PA
Cardiovascular Disease (Cardiology), Critical Care (Intensivists)IA
Certified Registered Nurse Anesthetist (Crna)IA
Physician AssistantIA
-IA
Sleep MedicineIA
Nurse PractitionerIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

Where can patients find MR. JACOB RYAN GRIFFITH's NPI?
You can confirm MR. JACOB RYAN GRIFFITH with NPI 1023553872; it appears in the national provider directory.
Is MR. JACOB RYAN GRIFFITH's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. JACOB RYAN GRIFFITH list a primary specialty?
If you are matching referrals, note Physician Assistant for MR. JACOB RYAN GRIFFITH. Clinical services aligned with this taxonomy classification.
Does MR. JACOB RYAN GRIFFITH practice in Tennessee?
You will see Knoxville, Tennessee on file for MR. JACOB RYAN GRIFFITH alongside any extra practice locations.
Is MR. JACOB RYAN GRIFFITH a real provider?
This page reflects official NPPES data for NPI 1023553872. Always confirm identity and privileges with the practice and licensing boards.

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