Corey Lee Greene, APRN, CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

227525 Issued in AR

Practice address

625 United Dr Ste 120a
Conway, AR 72032-7810

Phone

(501) 358-6720

Fax

(501) 358-6726

NPI assigned

Mar 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgreene758599@direct.baptist-healthar.org

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.

• Arkansas Health Group

  • Family Medicine Physician
  • Conway, AR
  • NPI 1588012728
  Medicare reassignment Care Compare group NPD
• Greene Roots Wellness & Telehealth PLLC

  • Nurse Practitioner
  • Little Rock, AR
  • NPI 1356220651

  Gerontology

  Medicare reassignment NPD Authorized official
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR

  Medicare reassignment NPD
• Arkansas Health Group

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
  • NPI 1598031882
  Medicare reassignment
• Arkansas Health Group

  • Neurology Physician
  • Conway, AR
  • NPI 1346769767
  NPD
• Arkansas Health Group

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Arkansas Health Group

  • Family Medicine Physician
  • White Hall, AR
  • NPI 1316286149
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Conway Community Services

  • General Acute Care Hospital
  • Conway, AR
  • NPI 1285005140
  Care Compare affiliation

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1881454601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-358-6720",
            "fax_number": "501-358-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 UNITED DR STE 120A",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327810",
            "telephone_number": "501-358-6720",
            "fax_number": "501-358-6726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Salem Rd Ste B3",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720344863",
            "country_code": "US",
            "telephone_number": "501-585-3935",
            "fax_number": "501-585-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "COREY",
        "middle_name": "LEE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "227525",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "227525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Lyn Marie Gray
• Jessie Lee Green, OTR/L
• Latoya Green, MHPP
• Madison Aubrey Green
• Terraniesha Green
• Jo E. Greenhill, APRN, CPNP
• Lathecia Greenlee, RECOVERY ASSISTANT
• Shannon M Greenway, PT
• Laura Greenwood
• Belinda C Greer, OT CHT

• Primary Care Nurse Practitioner in Conway, AR
• Providers in Conway, AR by specialty
• Primary Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.