Jodi M. Greenwald, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

047218 Issued in GA

Practice address

1285 Hembree Rd
Ste 100
Roswell, GA 30076-5715

Phone

(770) 442-1050

Fax

(770) 442-9618

NPI assigned

Jun 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073519930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 HEMBREE RD",
            "address_2": "STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765715",
            "telephone_number": "770-442-1050",
            "fax_number": "770-442-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 HEMBREE RD",
            "address_2": "STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765715",
            "telephone_number": "770-442-1050",
            "fax_number": "770-442-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "JODI",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "047218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00840012D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen O'Neill Greene, PT
• Susan A Greene, APRN-BC
• Victoria Greene, RBT
• Greenline Medical Corporation
• Mark Greenspan, MSPT
• Theresia Lynn Greer, LMT
• Timothy M Gregory, DC
• Stephanie Gresham
• Miranda Griffeth, CNM, WHNP-BC
• David Gordon Griffin

• Pediatric Adolescent Medicine Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Pediatric Adolescent Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.