Organization Active NPI

Greening Medical Inc

  • Family Medicine Physician
  • Senoia, GA
National Provider Identifier
1114034998
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42585 Issued in GA
Legal business name
GREENING MEDICAL INC
Practice address
7285 Highway 16
Suite C
Senoia, GA 30276-3357
Phone
(770) 599-0505
Fax
(770) 599-3413
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Dr. Billy E Greening, MD
Title
Owner
Phone
(770) 599-0505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 42585 GA Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 55703 GA

Addresses

Primary practice location

7285 Highway 16
Suite C
Senoia, GA 30276-3357

Mailing address

7285 Highway 16
Suite C
Senoia, GA 30276-3357
Phone (770) 599-0505

Other identifiers 1

IdentifierTypeStateIssuer
000711048QMedicaidGA

National Provider Directory

National Provider Directory

Locations

7285 Highway 16
Ste Sc
Senoia, GA 30276
Phone (770) 599-0505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1114034998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7285 HIGHWAY 16",
            "address_2": "SUITE C",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302763357",
            "telephone_number": "770-599-0505",
            "fax_number": "770-599-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7285 HIGHWAY 16",
            "address_2": "SUITE C",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302763357",
            "telephone_number": "770-599-0505",
            "fax_number": "770-599-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENING MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "GREENING",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-599-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "42585",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "55703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000711048Q",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Senoia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.