Individual provider Active NPI

John R. Greene III, M.D.

  • Family Medicine Physician
  • Whiteville, NC
National Provider Identifier
1558327031
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35352 Issued in NC
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

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031229000829 NC Practitioner - Family PracticePractitioner - Emergency Medicine 5092613083 Reassigns benefits to 1 organization
I20191029000306 TX Practitioner - Emergency Medicine 5092613083 Reassigns benefits to 2 organizations

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
Gandg Healthcare,PC WhitevilleGroup PAC ID 2365424819, 3 clinicians

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

LicenseStateTypeSpecialty
D0059112MDMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Health & Human Services PHS IHS CurrentSince Oct 13, 2020 Accepting new patients
G&G Healthcare,PC Whiteville Family Medicine CurrentSince Jan 23, 2021 Accepting new patients
G&G Healthcare, PC Family Medicine CurrentSince Jan 23, 2021 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince Sep 19, 2019 Accepting new patients
Thoreau Clinic CurrentSince Sep 19, 2019 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 PastSince Apr 19, 2020 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFIDD/Endpoint/JBFIDD
  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.