Active NPI
John R. Greene III, M.D.
- Family Medicine Physician
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35352
- Practice address
- 326 Columbus Corners Dr
Whiteville, NC 28472-4929 - Phone
- (202) 368-6793
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | D0059112 | MD | |
| Family Medicine Physician | 207Q00000X | 35352 | NC | Primary |
Addresses
Primary practice location
326 Columbus Corners Dr
Whiteville, NC 28472-4929
Mailing address
251 Harry S Truman Dr
Apt 31
Largo, MD 20774-2044
Phone (202) 368-6793
Other practice location 1
7490 Andrew Jackson Hwy SW
Cerro Gordo, NC 28430-9258
Phone (910) 654-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Howard University College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
805 S Madison St
Whiteville, NC 28472-4613
Phone (910) 654-2050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0059112 | MD | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Health & Human Services PHS IHS | Current | Accepting new patients | |
| G&G Healthcare,PC Whiteville | Family Medicine | Current | Accepting new patients |
| G&G Healthcare, PC | Family Medicine | Current | Accepting new patients |
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| Thoreau Clinic | Current | Accepting new patients | |
| Pueblo Pintado Clinic | Current | Accepting new patients | |
| G&G Healthcare, PC Cerro Gordo | Family Medicine | Past | Accepting new patients |
| Kinston Physicians Group, PLLC | Past | Accepting new patients |
Locations
350 E Devon Ave
Itasca, IL 60143
425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200
7490 Andrew Jackson Hwy SW
Cerro Gordo, NC 28430
Phone (910) 654-2050
805 S Madison St
Whiteville, NC 28472
Phone (910) 316-4352
326 Columbus Corners Dr
Whiteville, NC 28472
Phone (910) 642-2050
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBFIDD/Endpoint/JBFIDD
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Cerro Gordo, NC
- NPI 1518081363
-
- Critical Access Hospital
- Cass Lake, MN
- NPI 1194754382
TX
-
- Family Medicine Physician
- Cerro Gordo, NC
- NPI 1205184694
-
- Clinic/Center
- Cuba, NM
- NPI 1023051133
-
- Clinic/Center
- Thoreau, NM
- NPI 1679516702
-
- Family Medicine Physician
- Cerro Gordo, NC
- NPI 1376667154
-
- Emergency Medicine Physician
- Kinston, NC
- NPI 1689923757
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fayetteville, NC
- NPI 1528015369
-
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1558327031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 HARRY S TRUMAN DR",
"address_2": "APT 31",
"city": "LARGO",
"state": "MD",
"postal_code": "207742044",
"telephone_number": "202-368-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 COLUMBUS CORNERS DR",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284724929",
"telephone_number": "202-368-6793"
}
],
"practiceLocations": [
{
"address_1": "7490 Andrew Jackson Hwy SW",
"address_purpose": "LOCATION",
"city": "Cerro Gordo",
"state": "NC",
"postal_code": "284309258",
"country_code": "US",
"telephone_number": "910-654-2050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENE",
"first_name": "JOHN",
"middle_name": "R.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MD",
"license": "D0059112",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "35352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.