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

Jesse Nathan Greene

Individual provider Family Medicine Physician · NPI 1477130615

Jesse Nathan Greene is a Family Practice in Moultrie, Georgia. Qualified in 2021, 5 years ago. Practices with Cairo Medical Care, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021

Practice location Address checks out

1 Magnolia Ct
Moultrie, GA 31768-6764
Phone: (229) 502-9753
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 100174 (GA)

Record details

NPI number1477130615
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address1 Magnolia Ct, Moultrie, GA 31768-6764

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cairo Medical Care, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moultrie