NPIMap

Organization Active NPI

Lancaster General Health - Columbia Center

Doing business as Penn Medicine LGHP Family Medicine Twin Rose Wrightsville

  • Family Medicine Physician
  • Wrightsville, PA
National Provider Identifier
1063505824
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LANCASTER GENERAL HEALTH - COLUMBIA CENTER
Doing business as
Penn Medicine LGHP Family Medicine Twin Rose Wrightsville
Practice address
6415 Lincoln Hwy
Wrightsville, PA 17368-9697
Phone
(717) 252-1200
Fax
(717) 252-0259
NPI assigned
Oct 2, 2006
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Stacy Greco
Title
Payer Enrollment Manager
Phone
(223) 341-8516

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA Primary
Obstetrics & Gynecology Physician 207V00000X PA

Addresses

Primary practice location

6415 Lincoln Hwy
Wrightsville, PA 17368-9697

Mailing address

6415 Lincoln Hwy
Wrightsville, PA 17368-9697
Phone (717) 252-1200

Other identifiers 10

IdentifierTypeStateIssuer
1518496OtherPAGATEWAY / ASSURED
000000130609OtherPAUNISON HEALTHPLAN
100771175 0005MedicaidPA
03093400OtherPACAPITAL BLUE CROSS
5738020OtherPAAETNA
CN3829OtherPARAILROAD MEDICARE
001366462OtherPAHIGHMARK
000000143528OtherPAUNISON HEALTHPLAN
100772904 0035MedicaidPA
20026956OtherPAAMERIHEALTH MERCY

Other names 1

  • Penn Medicine LGHP Family Medicine Twin Rose Wrightsville Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Lancaster General Health - Columbia Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000813 PA Part B Supplier - Clinic/Group Practice 1254241359 Receives reassigned benefits from 76 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, PA; Wrightsville, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6415 Lincoln Hwy
Wrightsville, PA 17368
Phone (717) 252-1200

Practitioners & affiliated clinicians

Practitioners 84

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 84

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1063505824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 LINCOLN HWY",
            "city": "WRIGHTSVILLE",
            "state": "PA",
            "postal_code": "173689697",
            "telephone_number": "717-252-1200",
            "fax_number": "717-252-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 LINCOLN HWY",
            "city": "WRIGHTSVILLE",
            "state": "PA",
            "postal_code": "173689697",
            "telephone_number": "717-252-1200",
            "fax_number": "717-252-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER GENERAL HEALTH - COLUMBIA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PAYER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "223-341-8516"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY / ASSURED",
            "identifier": "1518496",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTHPLAN",
            "identifier": "000000130609",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100771175 0005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03093400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5738020",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN3829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001366462",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTHPLAN",
            "identifier": "000000143528",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100772904 0035",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20026956",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Lancaster General Health - Columbia Center",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Penn Medicine LGHP Family Medicine Twin Rose Wrightsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wrightsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.