Greenfield Family Medicine LLC
NPI 1336255264ActiveOrganization· Physician Assistant, Medical· Mesa, AZ
Physician Assistant, Medical in Mesa, Arizona, registered in NPPES in August 2006. The authorized official on file is Carla Jean Jenkins, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336255264 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2006 |
| Last updated in NPPES | Apr 14, 2025 |
| Certified by provider | Apr 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
| Family Medicine | 207Q00000X | 2584 | AZ |
| Family Medicine | 207Q00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | 2764 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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