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.

OrganizationActiveAccepts Medicare

Greenline Medical Corporation

NPI 1073810453 · General Practice Physician · Roswell, GA

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)

Practice location

804 Bombay Ln

Roswell, GA 30076-5819

Phone: (770) 754-9880

Fax: (770) 754-9881

Street-level locationGet directions

More GA providers

Mailing address

804 Bombay Ln

Roswell, GA 30076-5819

Specialties & taxonomies

General Practice PhysicianPrimary208D00000XLicense 058478 (GA)
Allopathic & Osteopathic Physicians
Pain Medicine Physician208VP0000XLicense 058478 (GA)
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Doing business as: Eagle Medical Center

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(83/100 index)

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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions