Jeanelle Greene
Individual provider Active NPI Community Health Worker · Richland, GA
NPI 1164059598 · NPPES record last updated Mar 25, 2020
Key facts
- NPI
- 1164059598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 14 Red Hill Church Rd
Richland, GA 31825-7514 - Phone
- (229) 887-3609
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
14 Red Hill Church Rd
Richland, GA 31825-7514
Mailing address
14 Red Hill Church Rd
Richland, GA 31825-7514
Phone (229) 887-3609
Other providers in Richland, GA
- Jacob Michael Colquitt
- Valeisha Faggins
- Four County Health Care LLC
- Four County Health Care, LLC
- Four County Health Care, LLC
- Guided Heart Home Care LLC
- Joanne B Hembree
- Chenequa Jatia Hubbard
- Ladona Marie Hunter
- Integrity Rehabilitation, Inc
All providers in Richland, GA · Community Health Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.