Organization Active NPI

Jeffrey D. Greenwood, M.D. P. C.

  • Psychiatry Physician
  • Maryville, TN
National Provider Identifier
1689942385
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD0000014635 Issued in TN
Legal business name
JEFFREY D. GREENWOOD, M.D. P. C.
Practice address
659 Morganton Square Dr
Maryville, TN 37801-4763
Phone
(186) 598-4993
Fax
(186) 598-2942
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Ginny Sutera
Title
Office MGR.
Phone
(865) 984-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD0000014635 TN Primary

Addresses

Primary practice location

659 Morganton Square Dr
Maryville, TN 37801-4763

Mailing address

659 Morganton Square Dr
Maryville, TN 37801-4763
Phone (186) 598-4993

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1689942385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 MORGANTON SQUARE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014763",
            "telephone_number": "186-598-4993",
            "fax_number": "186-598-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 MORGANTON SQUARE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014763",
            "telephone_number": "186-598-4993",
            "fax_number": "186-598-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D. GREENWOOD, M.D. P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "SUTERA",
        "authorized_official_first_name": "GINNY",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "18659849933"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000014635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.