Dr. David Scott Greenaway, PhD
Psychologist, Clinical in Atlanta, GA. Individual provider (NPI-1).
NPI number1124076237
StatusActive
Last updated in NPPESApr 26, 2013
Details
- NPI
- 1124076237
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Scott Greenaway
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2006
- Last updated
- Apr 26, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY8690 | FL | Yes |
| 103TC0700X | Psychologist, Clinical | PSY003045 | GA |
Practice location
62 Lenox Pointe NeSuite B
Atlanta, GA 30324-7409
Phone 904-330-8204
Mailing address
4400 Marsh Landing BlvdUnit 6
Ponte Vedra Beach, FL 32082-7215
Phone 904-473-7890
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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