Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Griffin Longley

Individual provider Physician Assistant · NPI 1568166130

Griffin Longley is a Physician Assistant in Port Huron, Michigan. Qualified in 2022, 4 years ago. Practices with Orthopedic Associates of Port Huron PC, a 22-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

940 River Centre Dr
Port Huron, MI 48060-4463
Phone: (810) 985-4900
Fax: (810) 985-3634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011643 (MI)

Record details

NPI number1568166130
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address6672 Newark Rd, Imlay City, MI 48444-9657

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Orthopedic Associates Of Port Huron Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Huron