James Walter Greene, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

029657 Issued in GA

Practice address

3215 Shrine Rd Ste 3
Brunswick, GA 31520-4300

Phone

(912) 434-9164

Fax

(912) 434-9386

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Brunswick, GA, CCN 117144
• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
• Marsh's Edge Nursing home, Saint Simons Island, GA, CCN 115718

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James W Greene MD LLC

  • Family Medicine Physician
  • Brunswick, GA
  • NPI 1396165577
  Medicare reassignment NPD Authorized official
• Southeastern Surgical Associates

  • Surgery Physician
  • Brunswick, GA
  • NPI 1922142298
  NPD (past)

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

• Centerwell Health Services USA, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Brunswick, GA
  • NPI 1619959251
  Care Compare affiliation
• Marsh's Edge, LLC

  dba Marsh's Edge

  • Assisted Living Facility
  • St Simons Island, GA
  • NPI 1568631521

  Nursing home

  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1144315326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ARTHUR J MOORE DR # 2",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222206",
            "telephone_number": "912-434-9164",
            "fax_number": "912-434-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 SHRINE RD STE 3",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204300",
            "telephone_number": "912-434-9164",
            "fax_number": "912-434-9386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3215 Shrine Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204300",
            "country_code": "US",
            "telephone_number": "912-434-9164",
            "fax_number": "912-434-9386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JAMES",
        "middle_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "029657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I085437",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000382687B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3215 Shrine Rd Ste 3",
            "city": "Brunswick",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315204300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace and Growth Behavioral Services
• Gracemore, LLC
• Gracious Care Recovery Solutions Inc
• Yoshi T Graham, FNP-C
• Grace Greene, RN
• Joe Stephen Greene, M.D.
• Richard Daniel Griffis III, PHARM.D.
• Gary M Grolemund, DPM
• Cynthia Grovenstein
• William George Grubb, MD

• Family Medicine Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.