Greenfield Family Medicine LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

GREENFIELD FAMILY MEDICINE LLC

Practice address

1244 N. Greenfield Rd.
Suite 104
Mesa, AZ 85205

Phone

(480) 964-6900

Fax

(480) 964-6901

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Carla Jean Jenkins

Title

Office Manager

Phone

(480) 964-6900

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew David Burrell, D.O.

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1558355990
  Medicare reassignment NPD
• Andrea Lynn Stahl, NP

  • Adult Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1467701847
  Medicare reassignment NPD
• Danielle Fairbanks, PA-C

  • Physician Assistant
  • Mesa, AZ
  • NPI 1083232177
  Medicare reassignment
• Shane A Milliron, PA-C

  • Physician Assistant
  • Mesa, AZ
  • NPI 1568834729
  Medicare reassignment

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1336255264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 N. GREENFIELD RD.",
            "address_2": "SUITE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85205",
            "telephone_number": "480-964-6900",
            "fax_number": "480-964-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 N. GREENFIELD RD.",
            "address_2": "SUITE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85205",
            "telephone_number": "480-964-6900",
            "fax_number": "480-964-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-964-6900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2584",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2764",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Greene, LAC
• Intissar Ann Greene
• Kimberley A Greene, RN BSN
• Roxanne Nicole Greene
• Greenfield Dental PLLC
• Greenfields Assisted Living LLC
• Daryl Greenhall, PA
• Madeline Amelia Greenlief, PA
• Scott David Michael Greenman, D.O.
• Rachael Greensides, PMHNP-BC

• Medical Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.