| Corey Lee Greene, APRN, CNP | |
|
625 United Dr Ste 120a, Conway, AR 72032-7810 | |
| (501) 358-6720 | |
| (501) 358-6726 |
| Full Name | Corey Lee Greene |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 625 United Dr Ste 120a, Conway, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881454601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 227525 (Arkansas) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 227525 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
| Baptist Health Medical Center- Conway | Conway, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Health Group | 7911802079 | 645 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598031882 PECOS PAC ID: 7911802079 Enrollment ID: O20120611000172 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588012728 PECOS PAC ID: 7911802079 Enrollment ID: O20160908001216 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365 |
| Entity Name | Greene Roots Wellness & Telehealth PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356220651 PECOS PAC ID: 2365947868 Enrollment ID: O20250925002210 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Lee Greene, APRN, CNP 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (501) 358-6720 | Corey Lee Greene, APRN, CNP 625 United Dr Ste 120a, Conway, AR 72032-7810 Ph: (501) 358-6720 |
Mckenzie Lauren Cotton, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1065 Skyline Dr, Conway, AR 72032 Phone: 501-499-6222 |
Madison Leigh Ford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Fountain Dr, Conway, AR 72034 Phone: 501-328-0055 Fax: 501-328-2194 |
Cynthia Lou Grubbs, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Hogan Ln, Conway, AR 72034 Phone: 501-327-1150 Fax: 501-327-3427 |
Mrs. Leah Maranda Martin, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Harkrider St, Suite B, Conway, AR 72032 Phone: 501-327-7100 Fax: 501-279-9011 |
Keisha A. Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034 Phone: 479-518-4977 Fax: 479-203-3030 |
Mrs. Shakenia A Tate, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 E Siebenmorgen Rd, Conway, AR 72032 Phone: 501-329-6851 |
David Adam Steinfeld, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 S German Ln Ste 1, Conway, AR 72034 Phone: 501-358-6606 Fax: 501-325-5554 |