GREENWOOD GASTROENTEROLOGY CENTER
NPI 1679802946
Internal Medicine - Gastroenterology in Greenwood, MS

Active since December 16, 2009
202 W PARK AVE, GREENWOOD, MS 38930(662) 455-8058 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 2, 2018, Aug 29, 2017, Jul 14, 2017 (3 updates tracked since 2017).

About Greenwood Gastroenterology Center NPPES

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

GREENWOOD GASTROENTEROLOGY CENTER (NPI 1679802946) is a healthcare organization registered as a gastroenterology in Greenwood, Mississippi and active in the NPI registry since December 2009. The organization lists Dawne Holmes, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679802946
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGREENWOOD LEFLORE HOSPITAL
Location Address202 W PARK AVEGreenwood, MS 38930
Mailing AddressPo Box 1410Greenwood, MS 38935-1410 · (662) 455-8058
Organization SubpartNo
Authorized OfficialDawne HolmesCfo · (662) 459-7119
Enumeration DateDecember 16, 2009
Last NPPES UpdateJuly 2, 20183 updates tracked since enumeration
✔ NPI 1679802946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
202 W PARK AVE, Greenwood, MS 38930

Other Names 1

Doing Business AsGreenwood Gastroenterology Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greenwood Gastroenterology Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Greenwood Gastroenterology Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1528434214
202 W PARK AVE
Greenwood, MS 38930
(662) 455-8058
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1689831844
202 W PARK AVE
Greenwood, MS 38930
(662) 455-8058
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Greenwood Leflore Hospital's NPI number?

The NPI number for Greenwood Leflore Hospital is 1679802946. It was assigned to this organization in the NPPES registry on December 16, 2009. The provider is doing business as Greenwood Gastroenterology Center.

Where is Greenwood Leflore Hospital located?

Greenwood Leflore Hospital is located at 202 W Park Ave, Greenwood, MS 38930. The listed phone number is (662) 455-8058.

What is Greenwood Leflore Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Greenwood Leflore Hospital enrolled in Medicare?

Yes. Greenwood Leflore Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greenwood Leflore Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Greenwood Leflore Hospital, in Gastroenterology 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.

What insurance does Greenwood Leflore Hospital accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Greenwood Leflore Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Greenwood Leflore Hospital was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.