Individual provider Active NPI

Tomeka Greene, PA-C

  • Medical Physician Assistant
  • Harrisburg, PA
National Provider Identifier
1164090775
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA062692 Issued in PA
Practice address
121 N Nyes Rd
Harrisburg, PA 17112-3247
Phone
(717) 531-8674
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA062692 PA Primary

Addresses

Primary practice location

121 N Nyes Rd
Harrisburg, PA 17112-3247

Mailing address

2808 Old Post Rd
Harrisburg, PA 17110-3685
Phone (717) 920-4400

Other practice location 1

1000 N Front St
Wormleysburg, PA 17043-1034
Phone (717) 731-0101

Other practice location 2

900 Century Dr Ste 101
Mechanicsburg, PA 17055-4525
Phone (717) 920-4400

Other practice location 3

900 Century Dr Ste 100
Mechanicsburg, PA 17055-4525
Phone (717) 591-3660

Other practice location 4

360 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 243-6557

Other practice location 5

830 Norland Ave
Chambersburg, PA 17201-4217
Phone (717) 217-6881

Other practice location 6

300 Bretz Ct Ste 100
Newport, PA 17074-8615
Phone (717) 567-7246

Other practice location 7

1251 E Main St Ste 3
Annville, PA 17003-1643
Phone (717) 988-0400

Other practice location 8

2808 Old Post Rd
Harrisburg, PA 17110-3685
Phone (717) 920-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgreene207631@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210913000516 PA Practitioner - Physician Assistant 7618373986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Milton S Hershey Medical Center Physicians GroupGroup PAC ID 3870405483, 1,606 clinicians

Practice addresses (Care Compare)

121 N Nyes Rd
Harrisburg, PA 17112-3248

500 Universidy Dr
Hershey, PA 17033-2360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Sep 25, 2023 Accepting new patients
The Milton S Hershey Medical Center Physcian Group CurrentSince Sep 25, 2023 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

121 N Nyes Rd
Ste D
Harrisburg, PA 17112
Phone (717) 531-8674

121 N Nyes Rd
Harrisburg, PA 17112
Phone (717) 531-8674

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

130 Leaders Heights Rd
York, PA 17403
Phone (717) 531-8478

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1164090775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 OLD POST RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103685",
            "telephone_number": "717-920-4400",
            "fax_number": "717-920-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N NYES RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171123247",
            "telephone_number": "717-531-8674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Front St",
            "address_purpose": "LOCATION",
            "city": "Wormleysburg",
            "state": "PA",
            "postal_code": "170431034",
            "country_code": "US",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Century Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554525",
            "country_code": "US",
            "telephone_number": "717-920-4400",
            "fax_number": "717-591-3667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Century Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554525",
            "country_code": "US",
            "telephone_number": "717-591-3660",
            "fax_number": "717-591-3661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159129",
            "country_code": "US",
            "telephone_number": "717-243-6557",
            "fax_number": "717-243-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Norland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014217",
            "country_code": "US",
            "telephone_number": "717-217-6881",
            "fax_number": "717-217-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Bretz Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "PA",
            "postal_code": "170748615",
            "country_code": "US",
            "telephone_number": "717-567-7246",
            "fax_number": "717-703-1199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 E Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170031643",
            "country_code": "US",
            "telephone_number": "717-988-0400",
            "fax_number": "717-221-5621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2808 Old Post Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171103685",
            "country_code": "US",
            "telephone_number": "717-920-4400",
            "fax_number": "717-920-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "TOMEKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA062692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgreene207631@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2808 Old Post Rd",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171103685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.