Individual provider Active NPI

Karen Greene, M.D.

  • Obstetrics & Gynecology Physician
  • Peachtree City, GA
National Provider Identifier
1720177181
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
039357 Issued in GA
Practice address
210 Clover Reach
Peachtree City, GA 30269-1657
Phone
(770) 487-9604
Fax
(770) 631-0540
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 039357 GA Primary

Addresses

Primary practice location

210 Clover Reach
Peachtree City, GA 30269-1657

Mailing address

210 Clover Reach
P.O. Box 2505
Peachtree City, GA 30269-1657
Phone (770) 487-9604

Other identifiers 1

IdentifierTypeStateIssuer
00703986FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208001050 GA Practitioner - Obstetrics/Gynecology 6204023815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Duke University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree City Obstetrics and Gynecology, P.C.Group PAC ID 0749277143, 3 clinicians

Practice addresses (Care Compare)

210 Clover Reach
Peachtree City, GA 30269-1657
Phone (770) 487-9604

775 Poplar Rd
Suite 360
Newnan, GA 30265-8304
Phone (770) 487-9604

Hospital & facility affiliations

  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree City Obstetrics and Gynecology, P.C. Obstetrics & Gynecology CurrentSince Apr 1, 2000 Accepting new patients
Peachtree City Obstetrics and Gynecology, P.C. Obstetrics & Gynecology Past Accepting new patients

Locations

775 Poplar Rd
Ste 360
Newnan, GA 30265
Phone (770) 487-9604

210 Clover Reach
Peachtree Cty, GA 30269
Phone (770) 487-9604

Organizations & group practices 2

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 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720177181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLOVER REACH",
            "address_2": "P.O. BOX 2505",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691657",
            "telephone_number": "770-487-9604",
            "fax_number": "770-631-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CLOVER REACH",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691657",
            "telephone_number": "770-487-9604",
            "fax_number": "770-631-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "039357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00703986F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.