GREENFIELD FAMILY MEDICINE LLC
NPI 1336255264
Physician Assistant - Medical in Mesa, AZ
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
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Greenfield Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Greenfield Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, AZFrequently 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.
Is Greenfield Family Medicine LLC enrolled in Medicare?
Yes. Greenfield Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Greenfield Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Greenfield Family Medicine LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 18 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.
# Greenfield Family Medicine Llc · NPI 1336255264
Medical organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since August 22, 2006.
## Identity
- **NPI:** 1336255264 (Entity type: Organization)
- **Enumerated:** August 22, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Organization subpart:** No
- **Authorized official:** Carla Jenkins, OFFICE MANAGER
## Practice location
- **Address:** 1244 N. GREENFIELD RD., SUITE 104, Mesa, AZ 85205
- **Phone:** (480) 964-6900 · **Fax:** (480) 964-6901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336255264) · Data from the CMS NPPES public registry.