JUSTIN MATTHEW GREENFIELD – Certified Registered Nurse Anesthetist, NPI 1215374426

JUSTIN MATTHEW GREENFIELD is a healthcare provider. based in Hiram, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN195971 (GA). The NPI Number for JUSTIN MATTHEW GREENFIELD is 1215374426

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN MATTHEW GREENFIELD
NPI
1215374426
Phone
(770) 794-0477
Address
146 Bill Carruth Pkwy
Enumeration Date
29 May 2013
Last Update Date
18 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2259230030
Graduation Year
2013 (13 years ago)
PAC ID
8123399193
Group Practice PAC ID
0941546923
Professional Enrollment ID
I20170809002395
Address ID
GA300764892RO300XXPKWY403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for JUSTIN MATTHEW GREENFIELD

  • 146 Bill Carruth Pkwy

    Hiram, GA 301413749

    Phone: (770) 794-0477

    Type: Location

  • 531 ROSELANE ST NW STE 830

    MARIETTA, GA 300606979

    Phone: (770) 794-0477

    Type: Mailing

  • 677 CHURCH ST NE

    MARIETTA, GA 300601101

    Phone: (770) 794-0477

    Fax: (770) 794-3108

    Type: Location

  • PO BOX 603484

    CHARLOTTE, NC 282603484

    Phone: (803) 765-1838

    Fax: (803) 765-1732

    Type: Mailing

  • 2095 HENRY TECKLENBURG DR

    CHARLESTON, SC 294145733

    Phone: (843) 402-1436

    Fax: (843) 402-1833

    Type: Location

  • 2540 Windy Hill Rd SE

    Marietta, GA 300678605

    Phone: (770) 794-0477

    Type: Location

  • 184 Holly Springs Rd NE

    White, GA 301842731

    Phone: (770) 382-1530

    Type: Location

  • 677 Church St NE

    Marietta, GA 300601101

    Phone: (770) 794-0477

    Fax: (770) 794-3108

    Type: Location

  • 8954 Hospital Dr

    Douglasville, GA 301342272

    Phone: (770) 794-0477

    Fax: (770) 794-3108

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $7.

Total Amount is formed as General ($7) + Research ($0) + Ownership ($0) = $7.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Ambu Inc. ($7).

Total Amount

$7

General + Research + Ownership

Payments

1

Total payment records

General Amount

$7

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ambu Inc.$7
View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170809002395ICertified Registered Nurse Anesthetist (Crna)GATBD
I20250428001833ICertified Registered Nurse Anesthetist (Crna)SCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 30141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941546923View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)LA
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

How do payers reference JUSTIN MATTHEW GREENFIELD?
For JUSTIN MATTHEW GREENFIELD, use NPI 1215374426 as the unique 10-digit identifier.
Is JUSTIN MATTHEW GREENFIELD still an active registrant?
JUSTIN MATTHEW GREENFIELD carries an active NPI according to the public dataset.
How would a patient describe JUSTIN MATTHEW GREENFIELD's focus?
For JUSTIN MATTHEW GREENFIELD, the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JUSTIN MATTHEW GREENFIELD located near Hiram?
JUSTIN MATTHEW GREENFIELD currently maps to Hiram, Georgia in this extract.
Can I trust this NPI listing for JUSTIN MATTHEW GREENFIELD?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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