Active NPI
Karen Greene, PA-C
- Physician Assistant
- Monroe, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001006212
- Practice address
- 1107 Reynolds St
Monroe, NC 28112-4351 - Phone
- (704) 752-7575
- Fax
- (704) 752-7576
- NPI assigned
- Jan 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001006212 | NC | Primary |
Addresses
Primary practice location
1107 Reynolds St
Monroe, NC 28112-4351
Mailing address
642 Cottonfield Cir
Waxhaw, NC 28173-9387
Phone (704) 307-3557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1107 Reynolds St
Monroe, NC 28112-4351
Phone (704) 752-7575
7666 Charlotte Hwy
Suite 220
Indian Land, SC 29707-0004
Phone (704) 752-7575
8035 Providence Rd
Suite 320
Charlotte, NC 28277-8910
Phone (704) 752-7575
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4096 | SC | MD | Speech-Language Pathologist |
| 001006212 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Ear Nose & Throat PA | Current | Accepting new patients |
Locations
1107 Reynolds St
Monroe, NC 28112
Phone (704) 289-8220
7666 Charlotte Hwy
Ste 220
Indian Land, SC 29707
Phone (704) 752-7575
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Indian Land, SC
- NPI 1932800745
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Union
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1174989164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 COTTONFIELD CIR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281739387",
"telephone_number": "704-307-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 REYNOLDS ST",
"city": "MONROE",
"state": "NC",
"postal_code": "281124351",
"telephone_number": "704-752-7575",
"fax_number": "704-752-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "KAREN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-07",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001006212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.