NPIMap

Organization Active NPI

Greencastle Family Practice PC

  • Family Medicine Physician
  • Greencastle, PA
National Provider Identifier
1629009295
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREENCASTLE FAMILY PRACTICE PC
Practice address
50 Eastern Ave
Ste 135
Greencastle, PA 17225-1100
Phone
(717) 597-3151
Fax
(717) 597-8933
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Mrs. Jenniffer Lee Showalter
Title
Executive Assistant
Phone
(223) 465-2025

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

50 Eastern Ave
Ste 135
Greencastle, PA 17225-1100

Mailing address

50 Eastern Ave
Ste 135
Greencastle, PA 17225-1100
Phone (717) 597-3151

Other identifiers 1

IdentifierTypeStateIssuer
10744525MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421000632 PA Part B Supplier - Clinic/Group Practice 2769420504 Receives reassigned benefits from 14 practitioners
Practice locations: Greencastle, PA; Waynesboro, PA

National Provider Directory

National Provider Directory

Locations

201 Franklin Farm Ln
Chambersburg, PA 17202
Phone (717) 264-2715

50 Eastern Ave
Ste 115
Greencastle, PA 17225
Phone (717) 597-0095

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1629009295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 EASTERN AVE",
            "address_2": "STE 135",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251100",
            "telephone_number": "717-597-3151",
            "fax_number": "717-597-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EASTERN AVE",
            "address_2": "STE 135",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251100",
            "telephone_number": "717-597-3151",
            "fax_number": "717-597-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENCASTLE FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "SHOWALTER",
        "authorized_official_first_name": "JENNIFFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "223-465-2025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10744525",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.