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

MS. McKenzie Lee Griffo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104571413

MS. McKenzie Lee Griffo is a Physician Assistant in Newport News, Virginia. Qualified in 2022, 4 years ago. Practices with Riverside Physician Services Inc, a 793-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

12200 Warwick Blvd Ste 310
Newport News, VA 23601-2344
Phone: (757) 534-9988
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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 0110008781 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104571413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2022
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

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 Riverside Physician Services Inc — 793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Newport News