NPIMap

Organization Active NPI

Greenfield Country Medicine

  • Family Medicine Physician
  • Greenfield Center, NY
National Provider Identifier
1962445205
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
239931 Issued in NY
Legal business name
GREENFIELD COUNTRY MEDICINE
Practice address
3100 Route 9N
Greenfield Center, NY 12833-1711
Phone
(518) 268-0615
Fax
(518) 348-1279
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Jama Lorynn Peacock Birsett, M.D.NPI 1003859331
Title
M.D./Owner
Phone
(518) 258-0615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 239931 NY Primary

Addresses

Primary practice location

3100 Route 9N
Greenfield Center, NY 12833-1711

Mailing address

3100 Route 9N
P.O.Box 159
Greenfield Center, NY 12833-1711
Phone (518) 268-0615

Other identifiers 1

IdentifierTypeStateIssuer
239931OtherNYNYS LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1962445205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 ROUTE 9N",
            "address_2": "P.O.BOX 159",
            "city": "GREENFIELD CENTER",
            "state": "NY",
            "postal_code": "128331711",
            "telephone_number": "518-268-0615",
            "fax_number": "518-348-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 ROUTE 9N",
            "city": "GREENFIELD CENTER",
            "state": "NY",
            "postal_code": "128331711",
            "telephone_number": "518-268-0615",
            "fax_number": "518-348-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD COUNTRY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PEACOCK BIRSETT",
        "authorized_official_first_name": "JAMA",
        "authorized_official_middle_name": "LORYNN",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "518-258-0615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "239931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "239931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield Center, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.