RACHAEL GREEN


Address: 1503 Professional Ct Ste 100, Dalton, GA 30720-2566
Phone: 7065498114

RACHAEL GREEN (NPI# 1558816462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558816462
Entity Type Individual
Full Name RACHAEL GREEN
Credential AGNP-C
Practice Address 1503 Professional Ct Ste 100
Dalton
GA 30720-2566
Mailing Address Po Box 80883
Athens
GA 30608-0883
Practice Telephone 7065498114
Practice Fax Number 7065490151
Mailing Telephone 7065498114
Mailing Fax Number 7065490151
Enumeration Date 2016-08-20
Last Update Date 2019-06-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
159821 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
18 Riverbend Dr Sw Ste 120, Rome, GA 301616019 7065498114 7065490151

Other Providers RACHAEL GREEN

NPI Name Taxonomy Address Enumeration
1134784150 Rachael Green Behavior Technician 17 Caldedon Ct B, Greenville, SC 29615-2961 2019-05-06
1265975536 Rachael Green Nurse Practitioner 2200 Childrens Way, Nashville, TN 37232-0005 2016-11-18

Office Location

Street Address 1503 PROFESSIONAL CT STE 100
City DALTON
State GA
Zip Code 30720-2566

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528688421 Nighat Purnima Kabir Student in an Organized Health Care Education/Training Program Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 2020-04-21
1720620727 Elizabeth Nicole Gregory Behavioral Analyst 1201 Burleyson Rd., Dalton, GA 30720 2019-10-10
1972161768 Andrea Nicole Henry Speech-Language Pathologist 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 2019-06-05
1275056905 Cynthia L Wood Speech-Language Pathologist 1011 Professional Blvd., Dalton, GA 30720 2017-07-25
1073069225 Alyssa Sellers Garner Nurse Practitioner 1436 Chattanooga Avenue, Dalton, GA 30720 2016-08-28
1588039077 Katie Walker Social Worker 900 Shugart Road, Dalton, GA 30720 2015-12-09
1215310800 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 98 West Walnut Ave, Dalton, GA 30720 2015-07-01
1275969081 Stacy Kay Whitehead Nurse Practitioner 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 2013-09-25
1821439985 Chantal Aneka Raheeda Lewis Internal Medicine 1109 Burleyson Rd Ste 103, Dalton, GA 30720 2013-07-17
1174960678 Homestead Hospice of Northwest Georgia, LLC Hospice Care, Community Based 1601 Hickory Street, Dalton, GA 30720 2013-05-24
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861623308 Jennifer Brooke Green Nurse Practitioner 1109 Burleyson Drive Suite 103, Dalton, GA 30720-3099 2009-07-31
1447760129 Kimberly Bailey Nurse Practitioner 1212 Broadrick Dr, Dalton, GA 30720-2503 2017-10-06
1649689449 Suzanne Elizabeth Brown Nurse Practitioner 1109 Burleyson Rd, Ste 202, Dalton, GA 30720-3094 2014-08-05
1699768366 Joyce Anne Miller Nurse Practitioner 1506 Broadrick Dr, Dalton, GA 30720-3011 2005-08-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477154110 Christina Danielle Palau Vaccari Nurse Practitioner 712 Pasley Ave Se, Atlanta, GA 30316-2158 2020-11-07
1427657113 Cynthia Diane Prather Nurse Practitioner 3264 Lower Boston Rd, Thomasville, GA 31757-1311 2020-10-22
1932706728 Alecia Ann Czarnecki Nurse Practitioner 6240 Crooked Creek Dr, Rex, GA 30273-5006 2020-10-05
1801401112 Cotenna D. Clark Nurse Practitioner 1857 Cameo Ct, Tucker, GA 30084-7002 2020-09-14
1487264370 Helen Young Yates Nurse Practitioner 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 2020-08-05
1982214334 Jasmine Alecia Henderson Nurse Practitioner 52 Roseberry Cir, Port Wentworth, GA 31407-5612 2020-07-31
1275142994 Theresia Richardson Nurse Practitioner 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 2020-07-28
1063021277 Elsa Duncan Duncan Nurse Practitioner 1822 E Gwinnett St, Savannah, GA 31404-1853 2020-07-24
1154941946 Joy P Wharton Nurse Practitioner 182 Silver Arrow Cir, Austell, GA 30168-7490 2020-04-21
1235769985 Michelle Brack Nurse Practitioner 502 Hall Rd, Thomasville, GA 31757-8105 2020-01-22
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Competitor

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City DALTON
Zip Code 30720

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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