Active NPI
John Greene
- Driver
- Charlotte, NC
National Provider Identifier
1144081027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 000048568756
- Practice address
- 7042 Jane Parks Way
Charlotte, NC 28217-3670 - Phone
- (612) 747-2576
- NPI assigned
- Jan 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | VAN7065 | NC | |
| Driver | 172A00000X | 000048568756 | NC | Primary |
Addresses
Primary practice location
7042 Jane Parks Way
Charlotte, NC 28217-3670
Mailing address
7042 Jane Parks Way
Charlotte, NC 28217-3670
Phone (612) 747-2576
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000048568756 | NC | MD | Driver |
| VAN7065 | NC | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1144081027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7042 JANE PARKS WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173670",
"telephone_number": "612-747-2576",
"fax_number": "612-926-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7042 JANE PARKS WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173670",
"telephone_number": "612-747-2576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-18",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": "NC",
"license": "VAN7065",
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NC",
"license": "000048568756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.