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JACOB GREENE MD
NPI 1376471102
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since May 12, 2026PECOS Enrolled
920 MADISON AVE STE 447, MEMPHIS, TN 38103(901) 287-6756 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Greene Md NPPES

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

JACOB GREENE MD (NPI 1376471102) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376471102
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB GREENECredential: MD
Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438
Mailing Address50 N Dunlap St Fl 6Memphis, TN 38103-2800 · (901) 287-6756
Phone(901) 287-6756
Sole ProprietorNo
Enumeration DateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1376471102 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
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.
920 MADISON AVE STE 447, Memphis, TN 38103
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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 Greene Md 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 20

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

DR. DAVID EDWARD ZIMMERHANZEL MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-5364
DR. AMIE RAE MILLER M.D.
Plastic Surgery
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-1350
BRADLEY PEARCE HAMBLY
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (615) 284-3387
ADAM SCHWARTZ
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-1010
KASHIF ALI
Internal Medicine (Nephrology)
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-3714
DR. ERNEST WALTER METELUS MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 287-6756
AMITAI MILLER MD/MPP
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-7635
VICTORIA MARIE SCHLESINGER
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-0230

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 Greene's NPI number?

The NPI number for Jacob Greene is 1376471102. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Where is Jacob Greene located?

Jacob Greene practices at 920 Madison Ave Ste 447, Memphis, TN 38103. The listed phone number is (901) 287-6756.

What is Jacob Greene'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 Greene enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Greene was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.