James W Greene MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

029657 Issued in GA

Legal business name

JAMES W GREENE MD LLC

Practice address

3215 Shrine Rd Ste 3
Brunswick, GA 31520-4300

Phone

(912) 434-9164

Fax

(912) 434-9386

NPI assigned

Apr 25, 2014

Last updated

Jul 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Walter Greene, MDNPI 1144315326

Title

President

Phone

(912) 434-9164

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA

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

Interoperability endpoints

• Direct secure messaging: drgreene@mdvip.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Walter Greene, MD

  • Family Medicine Physician
  • Brunswick, GA
  • NPI 1144315326
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1396165577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ARTHUR J MOORE DR # 2",
            "city": "SAINT SIMONS IS",
            "state": "GA",
            "postal_code": "315222206",
            "telephone_number": "912-434-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 SHRINE RD STE 3",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204300",
            "telephone_number": "912-434-9164",
            "fax_number": "912-434-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W GREENE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-434-9164",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "029657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drgreene@mdvip.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office",
            "address_1": "1015 Arthur J Moore Dr",
            "city": "Saint Simons Island",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315222206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3215 Shrine Rd Ste 3",
            "city": "Brunswick",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315204300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Loretta Patrice Jackson, LCSW
• Sherkeith Jackson
• Kezia Anila Jacob, D.M.D.
• Kiara Jacobs
• Sandra Jacobs
• Timothy A Jamieson, MD
• Karen Jarocki
• Jebediah S Christy DDS - Brunswick PLLC (Aspen Dental)
• Jeffry M Smith D C (Coastal Chiropractic Clinic)
• Bethany Jade Jennings, OTR

• Family Medicine Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.