Provider Demographics
NPI:1518097815
Name:GRIFFITH, CAMERON S (MD)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:S
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 BERTUCCI BLVD
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531
Mailing Address - Country:US
Mailing Address - Phone:228-385-2020
Mailing Address - Fax:228-388-9435
Practice Address - Street 1:431 BERTUCCI BLVD
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531
Practice Address - Country:US
Practice Address - Phone:228-385-2020
Practice Address - Fax:228-388-9435
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA59069207W00000X
MS20249207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA59069OtherMEDICAL LICENSE
MS04175796Medicaid
MS20249OtherMISSISSIPPI MEDICAL LICENSE
MS512G490003OtherGROUP MEDICARE PTAN FOR SOUTHERN EYE SURGERY CENTER LLC
MS04175796Medicaid
GA59069OtherMEDICAL LICENSE