Individual provider Active NPI

Mary Jo Greenway, NP

  • Nurse Practitioner
  • Swainsboro, GA
National Provider Identifier
1194007971
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP144604 Issued in GA
Practice address
117 Kite Rd
Second Floor
Swainsboro, GA 30401-3231
Phone
(478) 289-1150
Fax
(478) 289-1199
NPI assigned
Sep 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP144604 GA Primary

Addresses

Primary practice location

117 Kite Rd
Second Floor
Swainsboro, GA 30401-3231

Mailing address

291 Johnson Grove Church Rd
Midville, GA 30441-4744
Phone (478) 763-3851

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000207 GA Practitioner - Nurse Practitioner 2163696311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emanuel County Hospital AuthorityGroup PAC ID 3577473040, 40 clinicians
Emanuel Prompt CareGroup PAC ID 4385172428, 5 clinicians

Practice addresses (Care Compare)

120 A Victory Dr
Swainsboro, GA 30401-3235
Phone (478) 237-3291

5 Medical Office Way
Swainsboro, GA 30401-3262
Phone (478) 237-2238

Hospital & facility affiliations

  • Emanuel Medical Center Hospital, Swainsboro, GA, CCN 110109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP144604GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel Prompt Care CurrentSince Sep 23, 2024 Accepting new patients
Emanuel County Hospital Authority CurrentSince Aug 2, 2014 Accepting new patients
Emanuel County Hospital Authority Past Accepting new patients

Locations

305 Kite Rd
Swainsboro, GA 30401
Phone (478) 237-2144

5 Medical Office Way
Swainsboro, GA 30401
Phone (478) 237-2238

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

117 Kite Rd
Fl 2
Swainsboro, GA 30401
Phone (478) 289-1150

124 Victory Dr
Swainsboro, GA 30401
Phone (478) 237-5506

117 Kite Rd
Fl Second
Swainsboro, GA 30401
Phone (478) 289-1150

Interoperability endpoints

  • Direct secure messaging: mary.greenway@emcsim.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1194007971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 JOHNSON GROVE CHURCH RD",
            "city": "MIDVILLE",
            "state": "GA",
            "postal_code": "304414744",
            "telephone_number": "478-763-3851",
            "fax_number": "678-827-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 KITE RD",
            "address_2": "SECOND FLOOR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013231",
            "telephone_number": "478-289-1150",
            "fax_number": "478-289-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWAY",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP144604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

Verify at the official NPI Registry.