Active NPI
Barry Steven Greene, CHIROPRACTOR
- Chiropractor
- Snellville, GA
National Provider Identifier
1831141308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIROO2645
- Practice address
- 2840 Main St W
Snellville, GA 30078-3156 - Phone
- (770) 985-9021
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIROO2645 | GA | Primary |
Addresses
Primary practice location
2840 Main St W
Snellville, GA 30078-3156
Mailing address
2840 Main St W
Snellville, GA 30078-3156
Phone (770) 985-9021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHIROO2645 | Other | GA | LICENSE NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160829001361 | GA | Practitioner - Chiropractic | 9133156896 | Practice locations: Snellville, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2840 Main St W
Snellville, GA 30078-3156
Phone (770) 985-9021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIROO2645 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1831141308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2840 MAIN ST W",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783156",
"telephone_number": "770-985-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 MAIN ST W",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783156",
"telephone_number": "770-985-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "BARRY",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIROO2645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "CHIROO2645",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.