Individual provider Active NPI

Austin Taylor Greenwood, FNP

  • Family Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1134651128
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023032737 Issued in MO
Practice address
4230 Philips Farm Rd
Columbia, MO 65201-0067
Phone
(573) 882-4800
Fax
(573) 884-0723
NPI assigned
Mar 30, 2017
Last updated
May 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22474 TN
Family Nurse Practitioner 363LF0000X 22474 TN
Family Nurse Practitioner 363LF0000X 2023032737 MO Primary
Dermatology Physician 207N00000X 22474 TN

Addresses

Primary practice location

4230 Philips Farm Rd
Columbia, MO 65201-0067

Mailing address

2358 Lifestyle Way
Suite 212
Chattanooga, TN 37421-2291
Phone (423) 521-1100

Other practice location 1

2358 Lifestyle Way
Suite 212
Chattanooga, TN 37421-2291
Phone (423) 521-1100

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jychung@directaddress.net Skin Cancer & Cosmetic Dermatology Center, PC
Direct Messaging Address jychung@directaddress.net Skin Cancer & Cosmetic Dermatology Center, PC
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170524001542 TN Practitioner - Nurse Practitioner 5799052668
I20190423002198 GA Practitioner - Nurse Practitioner 5799052668
I20240618001089 MO Practitioner - Nurse Practitioner 5799052668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

308 S Church St
Fayette, MO 65248-1243
Phone (660) 248-2217

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Merit-based Incentive Payment System (MIPS)

Final score
79.32 of 100Reported as group
Quality
64.03
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22474TNMDDermatology Physician
2023032737MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Curators of the University of Missouri CurrentSince Jul 1, 2024 Accepting new patients
Curators of the University of Missouri CurrentSince Jul 1, 2024 Accepting new patients

Locations

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

308 S Church St
Fayette, MO 65248
Phone (660) 248-2217

2613 Fairway Dr
Fulton, MO 65251
Phone (573) 642-1990

Interoperability endpoints

  • Direct secure messaging: austin.greenwood@sccdc.gadirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1134651128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY",
            "address_2": "SUITE 212",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212291",
            "telephone_number": "423-521-1100",
            "fax_number": "423-521-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 PHILIPS FARM RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652010067",
            "telephone_number": "573-882-4800",
            "fax_number": "573-884-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2358 Lifestyle Way",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374212291",
            "country_code": "US",
            "telephone_number": "423-521-1100",
            "fax_number": "423-521-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "AUSTIN",
        "middle_name": "TAYLOR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "22474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023032737",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "22474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jychung@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Skin Cancer & Cosmetic Dermatology Center, PC",
            "address_1": "2358 Lifestyle Way",
            "address_2": "Suite 212",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374212291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jychung@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Skin Cancer & Cosmetic Dermatology Center, PC",
            "address_1": "1107 Memorial Drive",
            "address_2": "Suite 201",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "4230 Philips Farm Rd",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652010067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.