Active NPI
Karen Greene, M.D.
- Obstetrics & Gynecology Physician
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 039357
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00703986F | Medicaid | GA |
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
Enrollment records 1
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
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
- Piedmont Newnan Hospital, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree City Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | Current | 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.
-
- Obstetrics & Gynecology Physician
- Peachtree City, GA
- NPI 1447340401
-
- Obstetrics & Gynecology Physician
- Newnan, GA
- NPI 1629410154
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.