JENNIFER GRECO (FNP) – Family Nurse Practitioner, NPI 1790312304

JENNIFER GRECO (FNP) is a healthcare provider. based in Cordele, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 203251 (GA). The NPI Number for JENNIFER GRECO (FNP) is 1790312304

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER GRECO (FNP)
NPI
1790312304
Phone
(229) 273-8881
Address
804 E 16TH AVE
Enumeration Date
24 March 2020
Last Update Date
24 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2294746933
Graduation Year
2019 (7 years ago)
PAC ID
0840620274
Group Practice PAC ID
0446642995
Professional Enrollment ID
I20200424002680
Address ID
GA317072225AL2411XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for JENNIFER GRECO (FNP)

  • 804 E 16TH AVE

    CORDELE, GA 310151514

    Phone: (229) 273-8881

    Type: Location

  • 108 WIMBISH E

    PERRY, GA 310699624

    Phone: (478) 542-1759

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $541.

Total Amount is formed as General ($541) + Research ($0) + Ownership ($0) = $541.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Astellas Pharma US Inc ($190).

Total Amount

$541

General + Research + Ownership

Payments

14

Total payment records

General Amount

$541

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2020-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200424002680INurse PractitionerGATBD

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 31015)

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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: 0446642995View full group profile
NameSpecialtyState
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerGA
Obstetrics/Gynecology, Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER GRECO (FNP) for billing?
Administrative and clinical systems typically use NPI 1790312304 for JENNIFER GRECO (FNP).
Quick check: is JENNIFER GRECO (FNP) active?
Public NPPES data shows JENNIFER GRECO (FNP) with an active NPI status right now.
Which specialty label fits JENNIFER GRECO (FNP)?
NPPES ties JENNIFER GRECO (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JENNIFER GRECO (FNP) tied to Cordele, Georgia?
If you are local to Cordele, Georgia, JENNIFER GRECO (FNP) may be relevant to your search.
Who maintains JENNIFER GRECO (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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