Greenline Medical Corporation
NPI 1073810453 · General Practice Physician · Roswell, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Greenline Medical Corporation is a General Practice Physician organization in Roswell, GA (NPI 1073810453).
Provider details
- NPI number
- 1073810453
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Green, Physician(770) 754-9880
- License
- 058478 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Eagle Medical Center
Registry dates
- Enumerated
- 2011-02-19
- Last updated
- 2011-02-19
Frequently asked questions
- What is Greenline Medical Corporation's NPI number?
- Greenline Medical Corporation's National Provider Identifier (NPI) is 1073810453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Greenline Medical Corporation?
- Greenline Medical Corporation is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Greenline Medical Corporation located?
- Greenline Medical Corporation's practice location on file with NPPES is 804 Bombay Ln, Roswell, GA 30076-5819.
- What is Greenline Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Greenline Medical Corporation is (770) 754-9880.
- Does Greenline Medical Corporation accept Medicare?
- Greenline Medical Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Greenline Medical Corporation?
- The authorized official listed on Greenline Medical Corporation's NPPES record is Kimberly Green, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Greenline Medical Corporation's NPI active?
- Yes — Greenline Medical Corporation's NPI (1073810453) is active in the NPPES registry as of the last update on 2011-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.