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MICHAEL E. GREENE MD LLC NPI 1780613992


NPI Information

NPI: 1780613992
Provider Name: MICHAEL E. GREENE MD, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
682 HEMLOCK ST
SUITE 200
MACON, GA
ZIP 31201
Phone: (478) 746-3800
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MICHAEL E. GREENE MD, LLC is a family medicine in Macon, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MICHAEL E. GREENE MD, LLC NPI is 1780613992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

682 HEMLOCK ST
SUITE 200
MACON, GA
ZIP 31201-883
Phone: (478) 746-3800
Fax: (478) 746-3882

The provider's authorized official is Michael E Greene .
The authorized official title is Owner and has the following contact phone number (478) 746-3800.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 4/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine034840GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP7284OTHERGEORGIAPTAN
2000473943IMEDICAIDGEORGIA
308BBRSQOTHERGEORGIAUNKNOWN
4F04441MEDICARE UPINGEORGIA
508BBRSQMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
6GRP7284MEDICARE ID-TYPE UNSPECIFIEDGEORGIAGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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