Individual provider Active NPI

Grace Mae Greene, MSW

  • Social Worker
  • Atlanta, GA
National Provider Identifier
1114291416
Registry record updated Mar 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW004518 Issued in GA
Practice address
2751 Buford Hwy NE Ste 202
Atlanta, GA 30324-5456
Phone
(404) 325-3113
Fax
(888) 973-2726
NPI assigned
Mar 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW004518 GA Primary

Addresses

Primary practice location

2751 Buford Hwy NE Ste 202
Atlanta, GA 30324-5456

Mailing address

2751 Buford Hwy NE Ste 202
Atlanta, GA 30324-5456
Phone (404) 325-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW004518GAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330819200000",
    "number": "1114291416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245456",
            "telephone_number": "404-325-3113",
            "fax_number": "888-973-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245456",
            "telephone_number": "404-325-3113",
            "fax_number": "888-973-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "GRACE",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-04",
        "last_updated": "2012-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW004518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2012; 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.