Shelley Smith Greneker, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001535 Issued in GA

Practice address

1811 Green Cir Ste B
Valdosta, GA 31602-2784

Phone

(229) 244-9688

NPI assigned

Mar 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shelleygreneker@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1871024752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 GREEN CIR STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022784",
            "telephone_number": "229-244-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 GREEN CIR STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022784",
            "telephone_number": "229-244-9688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 N Oak Street Ext Ste C",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316025910",
            "country_code": "US",
            "telephone_number": "229-671-6100 x6125",
            "fax_number": "229-671-6774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRENEKER",
        "first_name": "SHELLEY",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "001535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "001535",
            "identifier": "001535",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Thomas Greenhaw, M D
• Greenleaf Center, LLC
• Greenleaf Counseling Center
• Joshua Tyler Greenway, DMD
• Gregory E. Pye, PH.D, PC
• Nia Grier
• Chase Thomas Griffin, MD
• Elaine D. Griffin, P.T.
• Randy Allen Griffis, D.C.
• Gina T Grimes, ED.S., CCC-SLP

• Marriage & Family Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.