Jennifer Greco, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

203251 Issued in GA

Practice address

804 E 16TH Ave
Cordele, GA 31015-1514

Phone

(229) 273-8881

NPI assigned

Mar 24, 2020

Last updated

Mar 24, 2020By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southland Uro Gynecology, LLCGroup PAC ID 0446642995, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBFFCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southland Uro Gynecology ,LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Americus, GA
  • NPI 1043973498
  Medicare reassignment Care Compare group NPD
• Careconnect Health, Inc.

  dba Pediatric Convenient Care

  • Federally Qualified Health Center (FQHC)
  • Leesburg, GA
  • NPI 1285346270
  NPD

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1790312304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WIMBISH E",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699624",
            "telephone_number": "478-542-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151514",
            "telephone_number": "229-273-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "203251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Real Care, LLC
• Marina Stefania Giordano, M. ED, CF-SLP
• Salena Glenn
• Regina Adderhold Goodrich
• Genie E Graves, DPT
• Autumn Dawn Griffin, OTR/L
• Guido H. Ring, M.D, LLC
• Alicia Hair, FNP
• Candace Hall
• Justin Hamil, PA-C

• Family Nurse Practitioner in Cordele, GA
• Providers in Cordele, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.

Verify at the official NPI Registry.