Morgan Greene, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010521 Issued in GA

Practice address

230 Riverstone Pkwy Ste B
Canton, GA 30114-6414

Phone

(770) 720-0099

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Waterside Chiropractic Inc.

  • Chiropractor
  • Santa Rosa Beach, FL
  • NPI 1114166238
  Medicare reassignment NPD

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1730756354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 INDIAN HILLS DR",
            "city": "RYDAL",
            "state": "GA",
            "postal_code": "301711658",
            "telephone_number": "229-376-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 RIVERSTONE PKWY STE B",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146414",
            "telephone_number": "770-720-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Eclipse",
            "affiliation": "N",
            "endpointDescription": "EHR software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "230 Riverstone Pkwy Ste B",
            "city": "Canton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301146414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Green
• Rachel Christine Green
• Greene Life Health, LLC
• Angela Dawn Greene, NP-C
• Brent Greene, DC
• Greg Elwell, D.M.D., P.C.
• Grexa Enterprises LLC (Grexa Chiropractic & Structural Wellness)
• Mitchell Grexa, D.C.
• Susan F Griggs, CNM
• Amanda Griner, PHARMD

• Chiropractor in Canton, GA
• Providers in Canton, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.