Craig A. Greene, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

35906 Issued in NC

Practice address

1781 Tate Blvd SE
Suite 203
Hickory, NC 28602-4251

Phone

(704) 373-0212

Fax

(704) 342-5871

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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

Specialty

Cardiovascular Disease (Cardiology)Also: Pediatric Medicine

Education

Medical University of South Carolina College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgreene2915224@carolinashealthcaresystem.direct-ci.com

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.

• Carolinas Physicians Network Inc

  dba The Sanger Clinic

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charlotte, NC
  • NPI 1477878890
  Medicare reassignment Care Compare group NPD
• Carolinas Physicians Network Inc

  dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici

  • Orthopaedic Surgery Physician
  • Lancaster, SC
  • NPI 1962858662
  Medicare reassignment
• Carolinas Physicians Network Inc.

  dba Atrium Health Imaging - Kenilworth

  • Vascular Surgery Physician
  • Charlotte, NC
  • NPI 1881624807

  Pediatric Cardiology

  NPD
• Carolinas Physicians Network, Inc

  dba Carolinas HealthCare System Virtual Visit

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1578939914
  NPD (past)
• The Sanger Clinic PA

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1912073743

  Pediatric Cardiology

  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1558350504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601067",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601067",
            "telephone_number": "704-373-0212",
            "fax_number": "704-342-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 TATE BLVD SE",
            "address_2": "SUITE 203",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024251",
            "telephone_number": "704-373-0212",
            "fax_number": "704-342-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "CRAIG",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NC",
            "license": "35906",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "SC",
            "license": "13616",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937041",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558350504",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N35906",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Green Monarch Health Practice, Inc.
• Elizabeth L Green, OT
• Laura Kinsey Greene-Buckland, LPC, MA, MS ED
• Allen Earl Greene, RPH
• Betty P Greene, CRNA
• Dallas Greene
• Denise Wilson Greene, PA
• Dinah Greene
• Leanora Greene
• Madison Greene, LCMHCA

• Pediatric Cardiology Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Pediatric Cardiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.

Verify at the official NPI Registry.