Organization Active NPI

Greene Family Medicine, Apmc

  • Family Medicine Physician
  • Opelousas, LA
National Provider Identifier
1447374137
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREENE FAMILY MEDICINE, APMC
Practice address
2967 S Union St
Opelousas, LA 70570-5740
Phone
(337) 594-8958
Fax
(337) 594-8987
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Dr. Craig Henry Greene, M.D.NPI 1326041112
Title
President
Phone
(337) 594-8958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2967 S Union St
Opelousas, LA 70570-5740

Mailing address

2967 S Union St
Opelousas, LA 70570-5740
Phone (337) 594-8958

Other practice location 1

216 Park St.
Krotz Springs, LA 70750
Phone (337) 566-2762

Other identifiers 1

IdentifierTypeStateIssuer
1420921MedicaidLA

Other names 1

  • Family Doctors Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address greenech@GoEFM-LA.direct.office.nextgen.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000384 LA Part B Supplier - Clinic/Group Practice 8224932827 Receives reassigned benefits from 2 practitioners
Practice locations: Krotz Springs, LA; Opelousas, LA

National Provider Directory

National Provider Directory
Tax ID family
Greene Family Medicine Apmc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: greenech@goefm-la.direct.office.nextgen.com

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1447374137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2967 S UNION ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705740",
            "telephone_number": "337-594-8958",
            "fax_number": "337-594-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2967 S UNION ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705740",
            "telephone_number": "337-594-8958",
            "fax_number": "337-594-8987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Park St.",
            "address_purpose": "LOCATION",
            "city": "Krotz Springs",
            "state": "LA",
            "postal_code": "70750",
            "country_code": "US",
            "telephone_number": "337-566-2762",
            "fax_number": "337-566-2766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENE FAMILY MEDICINE, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-594-8958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1420921",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greenech@GoEFM-LA.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Greene's Direct Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2967 S Union St",
            "city": "Opelousas",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705705740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family Doctors Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.