Stephanie Nicole Green (NPI# 1124528237, PAC ID# 8325396369) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124528237 |
| PAC ID by PECOS | 8325396369 |
| Professional Enrollment ID | I20180807002642 |
| Full Name | Stephanie Nicole Green |
| Organization Legal Name | COOPERATIVE HEALTHCARE SERVICES, INC. |
| Address |
2060 Dan Proctor Dr Suite 2100 Saint Marys GA 31558-3895 |
| Phone Number | 9128826767 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830093640 |
| Number of Group Practice Members | 156 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110146 | SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS |
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 2060 Dan Proctor Dr, Suite 2100, Saint Marys, GA 31558-3895 | 9128826767 | COOPERATIVE HEALTHCARE SERVICES, INC. |
| Organization Legal Name | COOPERATIVE HEALTHCARE SERVICES, INC. |
| Physicians | 147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Andrew Egly | Obstetrics/gynecology | Cooperative Healthcare Services, Inc. | 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894 |
| Hollie Ann Temples | Nurse Practitioner | Cooperative Healthcare Services, Inc. | 7000 Wellness Way, Suite 7210, St Simmons Island, GA 31522-2286 |
| Nicole Alba | Nurse Practitioner | Cooperative Healthcare Services, Inc. | 15 Gable Ct, Brunswick, GA 31525-6738 |
| Matthew D Katz | Urology | Cooperative Healthcare Services, Inc. | 2500 Starling St, Brunswick, GA 31520-4271 |
| Jason M Joseph | Obstetrics/gynecology | Cooperative Healthcare Services, Inc. | 2040 Dan Proctor Dr, Suite 180, Saint Marys, GA 31558-3817 |
| Kim T Baird | Nurse Practitioner | Cooperative Healthcare Services, Inc. | 308 Bedell Ave, Woodbine, GA 31569-2091 |
| Regina Schmidt | Physician Assistant | Cooperative Healthcare Services, Inc. | 3217 4th St, Brunswick, GA 31520-3759 |
| Daniel L Miller | Emergency Medicine | Cooperative Healthcare Services, Inc. | 3400 Parkwood Dr A, Brunswick, GA 31520-4782 |
| Scott C Clay | Family Medicine | Cooperative Healthcare Services, Inc. | 3222 Shrine Rd A, Brunswick, GA 31520-4357 |
| Elizabeth K Watson | Nurse Practitioner | Cooperative Healthcare Services, Inc. | 1022 Miller Ln Sw, Darien, GA 31305-3738 |
| Street Address |
2060 DAN PROCTOR DR SUITE 2100 |
| City | SAINT MARYS |
| State | GA |
| Zip | 31558-3895 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Andrew Egly | Obstetrics/gynecology | Cooperative Healthcare Services, Inc. | 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894 |
| Kyle A Rezac | Family Medicine | Baptist Primary Care Inc | 2060 Dan Proctor Dr, Suite 3100, Saint Marys, GA 31558-4324 |
| Michelle Lynn Pendleton | Nurse Practitioner | Baptist Primary Care Inc | 2060 Dan Proctor Dr, Suite 3100, Saint Marys, GA 31558-4324 |
| Obaidullah Ahmed | Family Medicine | Baptist Primary Care Inc | 2060 Dan Proctor Dr, Suite 3100, Saint Marys, GA 31558-4324 |
| Edward O Reece | Obstetrics/gynecology | Cooperative Healthcare Services, Inc. | 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894 |
| Michael C Yonz | Orthopedic Surgery | Cooperative Healthcare Services, Inc. | 2060 Dan Proctor Dr, Suite 1400, Saint Marys, GA 31558-3895 |
| Lindsey E Sweat | Family Medicine | Cooperative Healthcare Services, Inc. | 2060 Dan Proctor Dr, Suite 2100, Saint Marys, GA 31558-3895 |
| Michelle Y Perry | Obstetrics/gynecology | 2060 Dan Proctor Dr, Suite 1800, Saint Marys, GA 31558-4324 | |
| Melissa A White | Nurse Practitioner | Baptist Primary Care Inc | 2060 Dan Proctor Dr, Saint Marys, GA 31558-4324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Michelle Gomez | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Scott Thomas Miles | Addiction Medicine | 5155 Ga Hwy 40 E, St Marys, GA 31558 | |
| Angela D Johnson | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Paulette Kropf | Pediatric Medicine | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Angelito B Lacanilao | Family Medicine | 340 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3101 | |
| James Shields | Anesthesiology | Physicians Group Services Pa | 309 Arnow Dr, Saint Marys, GA 31558-3176 |
| Roberta Lindau | Clinical Social Worker | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Norman A Lemieux | Clinical Social Worker | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Ellinor Burke | Psychologist, Clinical | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Joshua B Woodin | Physician Assistant | Urgent Care of Coastal Georgia | 214 Professional Cir, Suite A, Saint Marys, GA 31558-3783 |
| Find all physicians in zip 31558 | |||
| City | SAINT MARYS |
| Zip Code | 31558 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT MARYS + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.