Individual provider Active NPI

Jennifer Lee Galaway, D.P.M.

  • Podiatrist
  • Greensboro, NC
National Provider Identifier
1487610259
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
648 Issued in NC
Practice address
2001 N Church St
Greensboro, NC 27405
Phone
(336) 375-6990
Fax
(336) 375-0361
NPI assigned
Apr 21, 2006
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 648 NC Primary

Addresses

Primary practice location

2001 N Church St
Greensboro, NC 27405

Mailing address

2202 Oakmont CT
Greensboro, NC 27407-6076
Phone (336) 543-8874

Other practice location 1

4515 Yoakum Blvd
Houston, TX 77006-5821
Phone (832) 436-0351

Other identifiers 4

IdentifierTypeStateIssuer
159199205MedicaidTX
159199203MedicaidTX
159199204MedicaidTX
P00450861OtherTXRAIL RD. MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgalaway481336@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103002216 NC Practitioner - Podiatry 9234121468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 N Church St
Greensboro, NC 27405-5633
Phone (336) 375-6990

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1051
Removal or shaving of skin growth339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
648NCMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Affiliated Physicians, Inc Current Accepting new patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Apr 25, 2019 Accepting new patients
Moses Cone Affiliated Physicians, Inc. Podiatrist CurrentSince Apr 25, 2019 Accepting new patients
Moses Cone Affiliated Physicians, Inc. Past Accepting new patients
Senior Psychcare of San Antonio I, PLLC Past Accepting new patients
Home Foot Care, LLP Past Accepting new patients
Lepow Podiatric Medical Associates Podiatrist Past Accepting new patients
Lepow Podiatric Medical Associates Podiatrist Past Accepting new patients
Astro Foot Care PA Podiatrist PastSince Sep 15, 2003 Accepting new patients

Locations

1680 Westbrook Ave
Burlington, NC 27215
Phone (336) 387-8100

2001 N Church St
Greensboro, NC 27405
Phone (336) 375-6990

Interoperability endpoints

  • Direct secure messaging: jgalaway481336@direct.conehealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1487610259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 OAKMONT CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076076",
            "telephone_number": "336-543-8874",
            "fax_number": "281-605-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27405",
            "telephone_number": "336-375-6990",
            "fax_number": "336-375-0361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Yoakum Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770065821",
            "country_code": "US",
            "telephone_number": "832-436-0351",
            "fax_number": "281-605-5579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALAWAY",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159199205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159199203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159199204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL RD. MEDICARE",
            "identifier": "P00450861",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgalaway481336@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2001 N Church St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.