JODI M. GREENWALD M.D. – NPI #1073519930
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

JODI GREENWALD is a physician located in ROSWELL, GA. NPPES has assigned the NPI number 1073519930 to JODI GREENWALD on June 24, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JODI GREENWALD below.

NPI Profile for
JODI M. GREENWALD

NPI Number
1073519930
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JODI M. GREENWALD
Credentials
M.D.
Primary location
1285 HEMBREE RD
STE 100
ROSWELL, GA 30076-5715
Phone: (770) 442-1050 Fax: (770) 442-9618
Mailing address
Same as primary location
Updated
Identifiers

Identifiers for JODI GREENWALD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA00840012D
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
GA 047218

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.