Individual provider Active NPI

Sidney Andreana Greene, DO

  • Nephrology Physician
  • Johnson City, TN
National Provider Identifier
1487232484
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO6984 Issued in TN
Practice address
107 Woodlawn Dr Ste 200
Johnson City, TN 37604-6287
Phone
(423) 929-7158
Fax
(423) 928-9625
NPI assigned
Mar 31, 2021
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X DO6984 TN Primary

Addresses

Primary practice location

107 Woodlawn Dr Ste 200
Johnson City, TN 37604-6287

Mailing address

107 Woodlawn Dr Ste 200
Johnson City, TN 37604-6287
Phone (423) 929-7158

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgreene92338@direct.acumenmd.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20220805000119 KY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3779965801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05888KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Medical Associates, P.C. Nephrology PastSince Mar 24, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1487232484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODLAWN DR STE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046287",
            "telephone_number": "423-929-7158",
            "fax_number": "423-928-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODLAWN DR STE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046287",
            "telephone_number": "423-929-7158",
            "fax_number": "423-928-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "SIDNEY",
        "middle_name": "ANDREANA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "DO6984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgreene92338@direct.acumenmd.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "107 Woodlawn Dr Ste 200",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376046287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.