Active NPI
Mary Jo Greenway, NP
- Nurse Practitioner
- Swainsboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN-NP144604
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP144604 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanuel Prompt Care | Current | Accepting new patients | |
| Emanuel County Hospital Authority | Current | 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
- 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.
-
- Surgery Physician
- Swainsboro, GA
- NPI 1003221243
-
- Urgent Care Clinic/Center
- Swainsboro, GA
- NPI 1487484820
-
- Rural Health Clinic/Center
- Swainsboro, GA
- NPI 1437577350
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Swainsboro, GA
- NPI 1235129214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.