Individual provider Active NPI

Elissa J Greene, NP

  • Family Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1881617108
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN100349 Issued in GA
Practice address
525 E 34TH St
Savannah, GA 31401-8149
Phone
(912) 231-1971
Fax
(912) 232-7423
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN100349 GA Primary

Addresses

Primary practice location

525 E 34TH St
Savannah, GA 31401-8149

Mailing address

525 E 34TH St
Savannah, GA 31401-8149
Phone (912) 231-1971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, CO, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210330000329 ME Practitioner - Nurse Practitioner 5597893974 Reassigns benefits to 1 organization
I20231227003283 CO Practitioner - Nurse Practitioner 5597893974 Reassigns benefits to 1 organization
I20260424003119 MI Practitioner - Nurse Practitioner 5597893974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Nov 14, 2023 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2021 Accepting new patients
Phoenix Clinic Past Accepting new patients

Locations

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

6 City Ctr
Portland, ME 04101

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881617108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 34TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314018149",
            "telephone_number": "912-231-1971",
            "fax_number": "912-232-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 34TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314018149",
            "telephone_number": "912-231-1971",
            "fax_number": "912-232-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ELISSA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN100349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.