Individual provider Active NPI

Jonathan F Greene, D.O.

  • Family Medicine Physician
  • Maryville, TN
National Provider Identifier
1821032285
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1700 Issued in TN
Practice address
720 Foothills Mall Dr
Maryville, TN 37801-3519
Phone
(865) 342-8100
Fax
(865) 342-8110
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1700 TN Primary

Addresses

Primary practice location

720 Foothills Mall Dr
Maryville, TN 37801-3519

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other identifiers 2

IdentifierTypeStateIssuer
3319672MedicaidTN
Q005496MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20060425000794 TN Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2769492453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians

Practice addresses (Care Compare)

121 N Calderwood St
Alcoa, TN 37701-2109
Phone (865) 336-9188

405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430

425 BMH Physicians
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5260

463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100

720 Foothills Mall Dr
Maryville, TN 37801-3519
Phone (865) 342-8100

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
  • Prisma Home Health Services Home health agency, Maryville, TN, CCN 447469
  • University of TN Medical Center Home Care Services Home health agency, Knoxville, TN, CCN 447230
  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1700TNMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Blount Memorial Physician Group, Inc Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
Prisma Health - Blount Memorial Hospital Inc. Past Accepting new patients
Emmaus Community Healthcare, PLLC Past Accepting new patients

Locations

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

103 W Broadway Ave
Maryville, TN 37801

458 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5355

463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100

720 Foothills Mall Dr
Maryville, TN 37801
Phone (423) 544-6708

Interoperability endpoints

  • Direct secure messaging: jgreene864408@direct.ghs.myhfn.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jonathan.greene.p1@direct.bmpg.nextgenshare.com

Organizations & group practices 3

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 4

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1821032285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 FOOTHILLS MALL DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013519",
            "telephone_number": "865-342-8100",
            "fax_number": "865-342-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JONATHAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "1700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3319672",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q005496",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.