TAMMY GREEN (NPI# 1609234129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609234129 |
| Entity Type | Individual |
| Full Name | TAMMY GREEN |
| Credential | CPNP |
| Practice Address |
5040 Bill Gardner Pkwy Suite 100 Locust Grove GA 30248-3757 |
| Mailing Address |
1002 Summerlake Way Mcdonough GA 30253-7424 |
| Practice Telephone | 6785835437 |
| Practice Fax Number | 6785835484 |
| Mailing Telephone | 4046697949 |
| Mailing Fax Number | 6785835484 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN199156 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN199156 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184248320 | Tammy Green | Massage Therapist | 1025 Andrew Dr, West Chester, PA 19380-4283 | 2020-06-03 |
| 1558983932 | Tammy Lynn Green | Social Worker | 186 Green View Rd, Moyock, NC 27958-9243 | 2020-05-08 |
| 1447569496 | Tammy L Green | Speech-Language Pathologist | 3310 Neuse Blvd Ste A, New Bern, NC 28560-4110 | 2010-09-24 |
| 1932364197 | Tammy L Green | Home Health Aide | 2437 Kitchner Dr, Columbus, OH 43207-2109 | 2008-07-26 |
| 1649803123 | Tammy L Green | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-02-12 |
| 1124597638 | Tammy M Green | Counselor | 2351 Freedom Way, York, PA 17402-9282 | 2018-11-14 |
| 1740762483 | Tammy Marie Green | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2018-08-29 |
| 1013361435 | Tammy Lynn Green | Nurse Practitioner | 2901 N Tenaya Way, Suite 210, Las Vegas, NV 89128-1420 | 2016-04-21 |
| 1639513609 | Tammy S Green | Nurse Practitioner | 1012 E Church St, Warren, AR 71671-3509 | 2013-04-22 |
| 1285919951 | Tammy L Green | Occupational Therapist | 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937-3566 | 2011-10-13 |
| Street Address |
5040 BILL GARDNER PKWY SUITE 100 |
| City | LOCUST GROVE |
| State | GA |
| Zip Code | 30248-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629037528 | John F Mynatt Jr. | Pediatrics | 5040 Bill Gardner Pkwy, Suite 100, Locust Grove, GA 30248-3645 | 2006-03-20 |
| 1902144637 | Whitney Nicole Williams | Nurse Practitioner | 5040 Bill Gardner Pkwy, Suite 100, Locust Grove, GA 30248-3645 | 2013-01-31 |
| 1932348745 | Shanon Renee Phillips | Nurse Practitioner | 5040 Bill Gardner Pkwy, Suite 100, Locust Grove, GA 30248-3757 | 2009-02-18 |
| 1114140704 | Charmille Aimesa Garnett Hare | Family Medicine | 5040 Bill Gardner Pkwy, Suite 310, Locust Grove, GA 30248-3757 | 2007-04-11 |
| 1174693519 | Locust Grove Pediatrics | Pediatrics | 5040 Bill Gardner Pkwy, Suite 100, Locust Grove, GA 30248-3645 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809779 | Uyen Nguyen | Dentist | 4146 Ga-42, Locust Grove, GA 30248 | 2019-06-10 |
| 1669038303 | Monique Antoinette Joseph | Nurse Practitioner | 3334 Highway 155 Ste B, Locust Grove, GA 30248 | 2019-05-17 |
| 1811552524 | Fresenius Medical Care Locust Grove, LLC | Clinic/Center | 2855 Ga-155 S, Locust Grove, GA 30248 | 2019-05-08 |
| 1972167765 | Wesley Todd Livingston | Pharmacist | 2730 Ga 155, Locust Grove, GA 30248 | 2019-04-26 |
| 1053974550 | Wish You Well Youth Faith Foundation Inc | Contractor | 147 Laughlin Dr, Locust Grove, GA 30248 | 2019-04-19 |
| 1740776517 | Takle Eye Surgery Center LLC | Clinic/Center | 1075 Bandy Pkwy, Ste 105, Locust Grove, GA 30248 | 2018-07-05 |
| 1508357559 | Justin Robert Crumpton | Behavioral Analyst | 212 Westin Park Dr, Locust Grove, GA 30248 | 2018-05-25 |
| 1730679051 | Lisa Renee Jones | Family Medicine | 3778 G 42, Locus Grove, GA 30248 | 2018-05-11 |
| 1275042152 | Stephanie Jones Headen | Counselor | 211 Peeksville Rd., Locust Grove, GA 30248 | 2017-09-23 |
| 1942735592 | Brandi Nicole Buice Minter | Pharmacist | 4920 Bill Gardner Parkway, Locust Grove, GA 30248 | 2017-04-20 |
| Find all providers in zip 30248 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669038303 | Monique Antoinette Joseph | Nurse Practitioner | 3334 Highway 155 Ste B, Locust Grove, GA 30248 | 2019-05-17 |
| 1811437437 | Connie Charles | Nurse Practitioner | 2435 Mcintosh Dr, Locust Grove, GA 30248-7412 | 2017-03-01 |
| 1528516374 | Amanda Danielle Gattie | Nurse Practitioner | 5040 Bill Gardner Pkwy Ste 100, Locust Grove, GA 30248-3758 | 2016-09-21 |
| 1326109877 | Linda Faulkner | Nurse Practitioner | 4861 Bill Gardner Pkwy, Suite 100, Locust Grove, GA 30248-3644 | 2006-12-12 |
| 1669957189 | Hannah Defore Swirsky | Nurse Practitioner | 5040 Bill Gardner Pkwy Ste 100, Locust Grove, GA 30248-3758 | 2018-10-01 |
| 1902144637 | Whitney Nicole Williams | Nurse Practitioner | 5040 Bill Gardner Pkwy, Suite 100, Locust Grove, GA 30248-3645 | 2013-01-31 |
| 1932348745 | Shanon Renee Phillips | Nurse Practitioner | 5040 Bill Gardner Pkwy, Suite 100, Locust Grove, GA 30248-3757 | 2009-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | LOCUST GROVE |
| Zip Code | 30248 |
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| 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.