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GREENFIELD FAMILY MEDICINE LLC
NPI 1336255264
Physician Assistant - Medical in Mesa, AZ

Active since August 22, 2006CLIA 03D2006511 · Waiver
1244 N. GREENFIELD RD., SUITE 104, MESA, AZ 85205(480) 964-6900(480) 964-6901 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greenfield Family Medicine Llc NPPES

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

GREENFIELD FAMILY MEDICINE LLC (NPI 1336255264) is a healthcare organization registered as a medical in Mesa, Arizona and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Carla Jean Jenkins, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336255264
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameGREENFIELD FAMILY MEDICINE LLC
Location Address1244 N. GREENFIELD RD., SUITE 104Mesa, AZ 85205
Mailing Address1244 N. Greenfield Rd., Suite 104Mesa, AZ 85205 · (480) 964-6900 · Fax (480) 964-6901
Phone(480) 964-6900
Fax(480) 964-6901
Organization SubpartNo
Authorized OfficialCarla Jean JenkinsOffice Manager · (480) 964-6900
Enumeration DateAugust 22, 2006
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1336255264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 2764
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2584 (AZ)
1244 N. GREENFIELD RD., Mesa, AZ 85205
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2006511

Greenfield Family Medicine · Mesa, AZ
Active · expires Apr 21, 2028
CLIA Number03D2006511
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorAndrew D. Burrell
Laboratory Phone(480) 964-6900
Laboratory LocationGreenfield Family Medicine1244 N Greenfield Rd #104, Mesa, AZ 85205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Greenfield Family Medicine LLC's NPI number?

The NPI number for Greenfield Family Medicine LLC is 1336255264. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Greenfield Family Medicine LLC located?

Greenfield Family Medicine LLC is located at 1244 N. Greenfield Rd. Suite 104, Mesa, AZ 85205. The listed phone number is (480) 964-6900.

What is Greenfield Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Greenfield Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2006511) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greenfield Family Medicine LLC was last updated on April 14, 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.