Tracey Greene-Johnson, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

038785 Issued in GA

Practice address

327 S 9TH St
Griffin, GA 30224-4111

Phone

(770) 229-1117

Fax

(770) 229-5280

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Howard University College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medcura Health, Inc 15 clinicians

DHP of Piedmont PC 18 clinicians

Morehouse Healthcare, Inc. 155 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracey.greene-johnson.1@9679.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DJFHBD

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.

• DHP of Piedmont PC

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1316202609

  GA, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1417011487

  GA

  Medicare reassignment Care Compare group NPD
• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324

  GA, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Southern Regional Physicians Management Group, LLC

  • Surgery Physician
  • Riverdale, GA
  • NPI 1043677271

  GA

  Medicare reassignment NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1811761448
  Care Compare group NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1053856856
  Care Compare group NPD (past)
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conyers, GA
  • NPI 1811333859
  Care Compare group NPD (past)
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1023537321
  Care Compare group
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1225573025
  Care Compare group
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Decatur, GA
  • NPI 1245010347
  Care Compare group
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1487592093
  Care Compare group
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Smyrna, GA
  • NPI 1598468555
  Care Compare group

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1477571081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 S 9TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244111",
            "telephone_number": "770-229-1117",
            "fax_number": "770-229-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S 9TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244111",
            "telephone_number": "770-229-1117",
            "fax_number": "770-229-5280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Jesse Hill Jr Dr SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033031",
            "country_code": "US",
            "telephone_number": "404-616-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE-JOHNSON",
        "first_name": "TRACEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "038785",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "038785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000629252E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Gould, MA
• Appaswamy M Gowda, MD
• Grace Medical Clinic
• Charles Frederick Graci Sr., CRNA
• Greater Biometric Services
• Griffin Area Resource Center, Inc
• Griffin Center for Pain and Spine
• Griffin Dental Specialties
• Griffin Family Dentistry
• Griffin Family Medicine, LLC

• All providers in Griffin, GA
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.

Verify at the official NPI Registry.