Terry D Greene, BA, QMHP, CDS

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC5833 Issued in NC

Practice address

121 Greenwich Rd
Charlotte, NC 28211-2355

Phone

(980) 208-4647

Fax

(980) 237-9266

NPI assigned

Mar 1, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Locations

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.

• Autumn Carolina LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
  • NPI 1750902771
  NPD Authorized official

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1528652617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GREENWICH RD STE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112365",
            "telephone_number": "980-335-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 GREENWICH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112355",
            "telephone_number": "980-208-4647",
            "fax_number": "980-237-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "TERRY",
        "middle_name": "D",
        "credential": "BA, QMHP, CDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC5833",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Greene
• Melody Greene
• Ralph L Greene, MD
• Sarah McGeachy Greene, LCSW
• Tamikia Scott Greene, ED. D, LPCS, LCAS
• Theresa Greene
• Tianna Kathryn Powell Greene, CNM
• Tirrell Greene III
• Tishay M Greene
• Trey Greene, MSW,LCSWA

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.