Gary Lynn Greenlee Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2003017111 Issued in MO

Practice address

108 Frizzell St
Potosi, MO 63664-1505

Phone

(573) 438-8500

Fax

(573) 438-8787

NPI assigned

Jan 22, 2008

Last updated

Jun 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington County Memorial HospitalGroup PAC ID 3476456880, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• IA HMO C-SNP
• IA HMO

Interoperability endpoints

• Direct secure messaging: gary.greenlee.p1@direct.wcmh-clinics.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington County Memorial Hospital

  • Critical Access Hospital
  • Potosi, MO
  • NPI 1194838821
  Medicare reassignment Care Compare group NPD
• Washington County Memorial Hospital

  dba Belgrade Rural Health Clinic

  • Rural Health Clinic/Center
  • Belgrade, MO
  • NPI 1871102137
  NPD
• Washington County Memorial Hospital

  dba Austin Plaza Primary Care Clinic

  • Rural Health Clinic/Center
  • Potosi, MO
  • NPI 1467424788
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1043497043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEALTH WAY DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641434",
            "telephone_number": "573-438-8500",
            "fax_number": "573-438-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FRIZZELL ST",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641505",
            "telephone_number": "573-438-8500",
            "fax_number": "573-438-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "GARY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003017111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terra Renee Graves, LCSW
• Kristie Lynn Gray, L.P.C.
• Great Mines Health Center
• Penny Kaye Grechus, MSN, RN, PMHNP-BC
• Greenlee Chiropractic Inc.
• Steven John Grouse, DPM
• Terry Guiley, D.O.
• Carolina Guillen del Castillo, DMD
• Julie Marie Hahn, MA-CCC-SLP
• Holly Harrell

• Chiropractor in Potosi, MO
• Providers in Potosi, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.