Michael E. Greene MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

034840 Issued in GA

Legal business name

MICHAEL E. GREENE MD, LLC

Practice address

682 Hemlock St
Suite 200
Macon, GA 31201-6883

Phone

(478) 746-3800

Fax

(478) 746-3882

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael E Greene, M.D.

Title

Owner

Phone

(478) 746-3800

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1780613992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26940",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312216940",
            "telephone_number": "478-746-3800",
            "fax_number": "478-746-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 HEMLOCK ST",
            "address_2": "SUITE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016883",
            "telephone_number": "478-746-3800",
            "fax_number": "478-746-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. GREENE MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-746-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "034840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000473943I",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "08BBRSQ",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "GRP7284",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Selaine Meyer Stinson, PH.D., LMFT
• Thomas P Meyer, MD
• Stephen Richard Meyers
• MFP Medical Services, LLC
• Mgas Holdings, LLC
• Michael R Johns PSYD
• Michael R Wisdom PT Physical Therapy Inc
• Elizabeth Jane Michael, MD
• Garry Michael, NP-C
• Jesse Michael, AA-C

• Family Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.