Individual provider Active NPI

Emily Morgan Greene, PA-C

  • Medical Physician Assistant
  • Fishersville, VA
National Provider Identifier
1700110475
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003119 Issued in VA
Practice address
70 Medical Center Cir
Suite 208
Fishersville, VA 22939-2273
Phone
(540) 932-5926
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110003119 VA Primary

Addresses

Primary practice location

70 Medical Center Cir
Suite 208
Fishersville, VA 22939-2273

Mailing address

123 Foxwood LN
Mount Sidney, VA 24467-2521
Phone (540) 294-1337

Other practice location 1

201 Lew DeWitt Blvd Ste B
Waynesboro, VA 22980-1663
Phone (540) 245-7950

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily.greene.1@14718.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000719 VA Practitioner - Physician Assistant 3779622105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Urological PCGroup PAC ID 3779622196, 6 clinicians

Practice addresses (Care Compare)

70 Medical Ctr Cir
Suite 208
Fishersville, VA 22939-2273
Phone (540) 332-5926

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0110003119VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Medical Group CurrentSince Oct 9, 2023 Accepting new patients
Blue Ridge Urological Assoc., PC Current Accepting new patients

Locations

70 Medical Center Cir
Ste 107
Fishersville, VA 22939
Phone (540) 245-7030

70 Medical Center Cir
Ste 208
Fishersville, VA 22939
Phone (540) 332-5926

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

201 Lew Dewitt Blvd
#B
Waynesboro, VA 22980
Phone (540) 245-7950

Interoperability endpoints

  • Direct secure messaging: emilygreene@bru.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1700110475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FOXWOOD LN",
            "city": "MOUNT SIDNEY",
            "state": "VA",
            "postal_code": "244672521",
            "telephone_number": "540-294-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER CIR",
            "address_2": "SUITE 208",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392273",
            "telephone_number": "540-932-5926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lew DeWitt Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "229801663",
            "country_code": "US",
            "telephone_number": "540-245-7950",
            "fax_number": "540-245-7951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "EMILY",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.greene.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "201 Lew DeWitt Blvd Ste B",
            "city": "Waynesboro",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229801663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.