Charles C Greene MD PHD PA
NPI 1457600769 · Otolaryngology Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles C Greene MD PHD PA is a Otolaryngology Physician organization in Jacksonville, FL (NPI 1457600769).
Provider details
- NPI number
- 1457600769
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Greene, Owner(904) 419-2054
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- Jacksonville Ent Surgery Center
- Doing business as
- Jacksonville Ent Surgery Center
Registry dates
- Enumerated
- 2012-08-31
- Last updated
- 2022-08-03
- Certified
- 2022-08-03
Frequently asked questions
- What is Charles C Greene MD PHD PA's NPI number?
- Charles C Greene MD PHD PA's National Provider Identifier (NPI) is 1457600769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles C Greene MD PHD PA?
- Charles C Greene MD PHD PA is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Charles C Greene MD PHD PA located?
- Charles C Greene MD PHD PA's practice location on file with NPPES is 11512 Lake Mead Ave, Jacksonville, FL 32256-9733.
- What is Charles C Greene MD PHD PA's phone number?
- The practice phone number listed in the NPPES registry for Charles C Greene MD PHD PA is (904) 419-2054.
- Does Charles C Greene MD PHD PA accept Medicare?
- Charles C Greene MD PHD PA 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 Charles C Greene MD PHD PA?
- The authorized official listed on Charles C Greene MD PHD PA's NPPES record is Charles Greene, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles C Greene MD PHD PA's NPI active?
- Yes — Charles C Greene MD PHD PA's NPI (1457600769) is active in the NPPES registry as of the last update on 2022-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.