Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corey Edward Greene, PAC

Individual provider Medical Physician Assistant · NPI 1174828867

Corey Edward Greene, PAC is a Physician Assistant in Chapmanville, West Virginia. Qualified in 2010, 16 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
16
Licensed in
WV
In the registry since
2011
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

40 Shae Ave Ste A
Chapmanville, WV 25508-9805
Phone: (304) 310-2261
Fax: (304) 310-2262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Prosperity Ln, Logan, WV 25601-3743 — (304) 752-8202

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 679 (WV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 01532 (WV)

Record details

NPI number1174828867
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 11, 2011
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022
Mailing address40 Shae Ave Ste A, Chapmanville, WV 25508-9805

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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