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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679830905

Mandi Greenway, MD is a Dermatology in Mitchell, South Dakota. Graduated from Sanford School of Medicine of University of South Dakota in 2012, 14 years ago. Practices with Avera Queen of Peace, a 115-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
14
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
SD
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1900 Grassland Dr
Mitchell, SD 57301-6205
Phone: (605) 995-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 9935 (SD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679830905
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2012
Last updated in NPPESMay 20, 2016
Mailing address1900 Grassland Dr, Mitchell, SD 57301-6205

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2012 (14 years in practice)
Group practice Avera Queen Of Peace — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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