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KAI MARCUS GREENE DO
NPI 1679047195
Military Health Care Provider in Portsmouth, VA

Active since January 17, 2019PECOS Enrolled
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-2277 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 25, 2026, Oct 27, 2023, Feb 22, 2021 and 3 more (6 updates tracked since 2019).

About Kai Marcus Greene Do NPPES

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

KAI MARCUS GREENE DO (NPI 1679047195) is an individual military health care provider provider in Portsmouth, Virginia, licensed in Virginia (0102208608) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679047195
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameKAI MARCUS GREENECredential: DO
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111 · (757) 953-2277
Phone(757) 953-2277
Sole ProprietorNo
Enumeration DateJanuary 17, 2019
Last NPPES UpdateApril 25, 20266 updates tracked since enumeration
NPPES CertifiedApril 25, 2026
✔ NPI 1679047195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in VA · 0102208608
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0102208608 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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Secondary Practice Locations 2

Location 1212 Wallace Creek RdCamp Lejeune, NC 28547 · Phone (910) 449-8878
Location 2760 East AvePensacola, FL 32508-5136 · Phone (850) 452-8970

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kai Marcus Greene Do 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.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
DR. DANIEL VERNON UNGER M.D.
Orthopaedic Surgery
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1888

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 Kai Greene's NPI number?

The NPI number for Kai Greene is 1679047195. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Where is Kai Greene located?

Kai Greene practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-2277.

What is Kai Greene's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Kai Greene enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kai Greene was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.