SUSAN A GREENE (NPI# 1982631040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982631040 |
| Entity Type | Individual |
| Full Name | SUSAN A GREENE |
| Credential | APRN-BC |
| Practice Address |
901 Bombay Ln Roswell GA 30076-5829 |
| Mailing Address |
1351 Old Mobile Rd Mc Caysville GA 30555-1950 |
| Practice Telephone | 7706641920 |
| Practice Fax Number | 8883889622 |
| Mailing Telephone | 7064925274 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
100566 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | EVERCARE | 83-02313 | 01 |
| GA | 054554063A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508203704 | Susan Greene | Physical Therapist | 562 Massachusetts Ave Apt 1, Boston, MA 02118-1457 | 2013-05-29 |
| 1609354679 | Susan Jeanette Greene | Registered Nurse | 1017 17th St, Monroe, WI 53566-2351 | 2018-08-01 |
| 1184065492 | Susan Michelle Greene | Marriage & Family Therapist | 8911 Lakewood Dr, Suite 24d, Windsor, CA 95492-7856 | 2013-07-15 |
| 1063718187 | Susan Mobley Greene | Obstetrics & Gynecology | 101 W Mulberry Blvd Ste 100, Savannah, GA 31407-3507 | 2011-02-07 |
| 1598932329 | Susan B Greene | Occupational Therapist | 410 Albemarle Sq, Charlottesville, VA 22901-7400 | 2008-05-12 |
| 1275680217 | Susan R Greene | Psychologist | 1801 Bush St, #207, San Francisco, CA 94109-5239 | 2007-01-04 |
| 1750464194 | Susan Lynn Greene | Registered Nurse | 400 E Main St, Mount Kisco, NY 10549-3417 | 2006-10-21 |
| 1346334711 | Susan Marinel Greene | Psychologist | 11100 San Pablo Ave, Suite 216, El Cerrito, CA 94530-2194 | 2006-10-03 |
| 1548271919 | Susan Greene | Nurse Anesthetist, Certified Registered | 63 Barkley Cir, Suite 104, Fort Myers, FL 33907-4514 | 2006-08-11 |
| 1730107384 | Susan G Greene | Nurse Anesthetist, Certified Registered | 737 Broadway N, Fargo, ND 58122-0001 | 2006-07-18 |
| Street Address |
901 BOMBAY LN |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-5829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962894816 | Kelly Freeman | Social Worker | 901 Bombay Ln, Roswell, GA 30076-5829 | 2015-03-02 |
| 1528458783 | Anaika Alyssa Scott | Social Worker | 901 Bombay Ln, Roswell, GA 30076-5829 | 2015-01-27 |
| 1033527924 | Kendaly Meadows | Nurse Practitioner | 901 Bombay Ln, Roswell, GA 30076-5829 | 2014-07-24 |
| 1962845818 | Alisa Faye Beattie | Social Worker | 901 Bombay Ln, Roswell, GA 30076-5829 | 2013-04-10 |
| 1336455401 | Linda K Mccartney | Social Worker | 901 Bombay Ln, Roswell, GA 30076-5829 | 2010-08-26 |
| 1821229840 | Stephen Jester | Counselor | 901 Bombay Ln, Roswell, GA 30076-5829 | 2009-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646813 | Ololade Babarinde | Nurse Practitioner | 885 Woodstock Rd Ste 129, Roswell, GA 30075-2276 | 2020-07-20 |
| 1861946253 | Sandra Kovachi | Nurse Practitioner | 4609 Village Green Dr, Roswell, GA 30075-7642 | 2016-08-15 |
| 1770943086 | Melissa Kay Bethany | Nurse Practitioner | 613 W 2nd St Ste 1, Roswell, NM 88201-4671 | 2016-02-29 |
| 1780211466 | Seek First Health | Nurse Practitioner | 106 N Delaware Ave, Roswell, NM 88203-3042 | 2020-03-24 |
| 1073154365 | Tracy Dawn Tyler | Nurse Practitioner | 11111 Houze Rd Ste 225, Roswell, GA 30076-5618 | 2019-10-08 |
| 1275005449 | Viviene Verona Smith | Nurse Practitioner | 1902 Macy Dr, Roswell, GA 30076-6339 | 2018-12-27 |
| 1639690159 | Nirvana Mental Healthcare Services Inc | Nurse Practitioner | 1627 S Union Ave, Roswell, NM 88203-2656 | 2017-07-06 |
| 1033527924 | Kendaly Meadows | Nurse Practitioner | 901 Bombay Ln, Roswell, GA 30076-5829 | 2014-07-24 |
| 1396182838 | Sparkman Behavioral Health, P. C. | Nurse Practitioner | 313 W Country Club Rd, Suite 5, Roswell, NM 88201-5804 | 2013-05-23 |
| 1316291792 | Special Needs Consulting LLC | Nurse Practitioner | 227 N Main St, Roswell, NM 88201-4722 | 2012-11-06 |
| Find all providers in ROSWELL | ||||
Please comment or provide details below to improve the information on SUSAN A GREENE.
| 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.