Active NPI
Amy D. Greenwald, M.D.
- Obstetrics & Gynecology Physician
- Ponte Vedra, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME84965
- Practice address
- 400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237 - Phone
- (904) 640-8249
- Fax
- (904) 640-8250
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME84965 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | ME84965 | FL | Primary |
Addresses
Primary practice location
400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other practice location 1
9404 Waypoint Pl
Jacksonville, FL 32257-5588
Phone (904) 260-2255
Other practice location 2
14546 Old Saint Augustine Rd Ste 305&311
Jacksonville, FL 32258-5468
Phone (904) 260-2255
Other practice location 3
10898 Baymeadows Rd Ste 200
Jacksonville, FL 32256-5838
Phone (904) 260-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267264200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Medical Branch at Galveston, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14546 Old Saint Augustine Rd
Suite 305
Jacksonville, FL 32258-5472
Phone (904) 260-2255
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Brooks Rehabilitation Hospital University Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME84965 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens' Health Hospitalists, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Women'S Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Women'S Care Florida LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
2525 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-0704
9404 Waypoint Pl
Jacksonville, FL 32257
Phone (904) 260-2255
9404 Waypoint Pl
Ste A
Jacksonville, FL 32257
14546 Old St Augustine Rd
Ste 305
Jacksonville, FL 32258
Phone (904) 260-2255
10898 Baymeadows Rd
Ste 200
Jacksonville, FL 32256
Phone (904) 260-2255
14546 Old St Augustine Rd
Ste 311
Jacksonville, FL 32258
Phone (904) 260-2255
400 Colonnade Dr
Rm D2
Ponte Vedra, FL 32081
400 Colonnade Dr
Ste 230
Ponte Vedra Beach, FL 32081
Phone (904) 202-1795
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
5002 W Lemon St
Tampa, FL 33609
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
Interoperability endpoints
- amy.greenwald@wcfnf.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Obstetrics & Gynecology Physician
- Jacksonville, FL
- NPI 1568045573
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1689635252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COLONNADE DR STE 230",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320816237",
"telephone_number": "904-640-8249",
"fax_number": "904-640-8250"
}
],
"practiceLocations": [
{
"address_1": "9404 Waypoint Pl",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322575588",
"country_code": "US",
"telephone_number": "904-260-2255",
"fax_number": "904-739-7557",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14546 Old Saint Augustine Rd Ste 305&311",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322585468",
"country_code": "US",
"telephone_number": "904-260-2255",
"fax_number": "904-260-2251",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10898 Baymeadows Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322565838",
"country_code": "US",
"telephone_number": "904-260-2255",
"fax_number": "904-519-0633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENWALD",
"first_name": "AMY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME84965",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME84965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267264200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.