MARY JO GREENWAY (NP) – Nurse Practitioner, NPI 1194007971
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MARY JO GREENWAY (NP)
291 JOHNSON GROVE CHURCH RD
MIDVILLE, GA 304414744
Phone: (478) 763-3851
Fax: (678) 827-0711
Type: Mailing
117 KITE RD
SECOND FLOOR
SWAINSBORO, GA 304013231
Phone: (478) 289-1150
Fax: (478) 289-1199
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $381.
Total Amount is formed as General ($381) + Research ($0) + Ownership ($0) = $381.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($83).
Total Amount
$381
General + Research + Ownership
Payments
21
Total payment records
General Amount
$381
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-11-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (919 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111128000207 | I | Nurse Practitioner | GA | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30441)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Thoracic Surgery, Cardiac Surgery, Vascular Surgery | GA | |
| Emergency Medicine | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Hospice/Palliative Care, Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| Physician Assistant | GA | |
| General Surgery | CO | |
| General Surgery | GA |
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