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JACOB WILLIAM GREENWAY
NPI 1043009145
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since May 05, 2025PECOS Enrolled
1120 15TH ST # BP4109, AUGUSTA, GA 30912(706) 721-4307 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob William Greenway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB WILLIAM GREENWAY (NPI 1043009145) is an individual student in an organized health care education/training program in Augusta, Georgia, licensed in Georgia (17411) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043009145
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB WILLIAM GREENWAY
Location Address1120 15TH ST # BP4109Augusta, GA 30912-0006
Mailing Address1120 15th St # Bp4109Augusta, GA 30912-0006 · (706) 721-4307
Phone(706) 721-4307
Sole ProprietorNo
Enumeration DateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1043009145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in GA · 17411
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1120 15TH ST # BP4109, Augusta, GA 30912
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob William Greenway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIGAIL ALBRITTON MASSEY MD
Otolaryngology
1120 15TH ST # BP4109
AUGUSTA, GA 30912
Richmond County (706) 721-6100
HANNA LEIGH KOSNIK LONG MD
Student in an Organized Health Care Education/Training Program
1120 15TH ST # BP4109
AUGUSTA, GA 30912
Richmond County (706) 721-4400
FARIS ANTHONY MIRZA MD
Otolaryngology
1120 15TH ST # BP4109
AUGUSTA, GA 30912
Richmond County (706) 721-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Greenway's NPI number?

The NPI number for Jacob Greenway is 1043009145. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Jacob Greenway located?

Jacob Greenway practices at 1120 15th St # Bp4109, Augusta, GA 30912. The listed phone number is (706) 721-4307.

What is Jacob Greenway's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Greenway enrolled in Medicare?

Yes. Jacob Greenway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Greenway was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.