Greene Family Clinics LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

GREENE FAMILY CLINICS LLC

Doing business as

Greene Family Clinic at Krotz Springs

Practice address

216 Part St
Krotz Springs, LA 70750

Phone

(337) 566-2762

Fax

(337) 566-2766

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Craig Greene, MDNPI 1326041112

Title

President

Phone

(337) 594-8958

Specialties & licenses 1

Addresses

Other names 1

• Greene Family Clinic at Krotz Springs Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Rural health clinic certification: CCN 198903

Legal name

GREENE FAMILY CLINICS LLC

Doing business as

GREENE FAMILY CLINIC AT KROTZ SPRINGS

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Mar 7, 2022

Last certification

Mar 7, 2025

Ownership / control type

1A

Organization structure

LLCProprietary

Incorporated

Aug 4, 2003 in LA

Enrollment address

216 Park St
Krotz Springs, LA 70750-5339

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Craig H Greene, M.D.

  • Family Medicine Physician
  • Opelousas, LA
  • NPI 1326041112

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig H Greene, M.D.

  • Family Medicine Physician
  • Opelousas, LA
  • NPI 1326041112
  Medicare reassignment NPD Authorized official
• Elizabeth Lynette Martin, FNP-C

  • Family Nurse Practitioner
  • Krotz Springs, LA
  • NPI 1861701948
  Medicare reassignment NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1588336374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2967 S UNION ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705740",
            "telephone_number": "337-594-8958",
            "fax_number": "337-594-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 PART ST",
            "city": "KROTZ SPRINGS",
            "state": "LA",
            "postal_code": "70750",
            "telephone_number": "337-566-2762",
            "fax_number": "337-566-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE FAMILY CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-594-8958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene Family Clinic at Krotz Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Acadiana Wound & Ostomy on Wheels (Acadiana WOW)
• Emily Disotell
• Greene Family Medicine, Apmc
• Elizabeth Lynette Martin, FNP-C
• Melany Ann West, NP

• Rural Health Clinic/Center in Krotz Springs, LA
• Providers in Krotz Springs, LA by specialty
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.