Vernon W Greene, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN008312 Issued in GA

Practice address

1229 Eagles Landing Pkwy Ste a
Stockbridge, GA 30281-5114

Phone

(770) 474-1431

Fax

(770) 474-2353

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Medical College of Georgia School of Medicine, 1974

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sleep Group South Inc

  • General Practice Dentistry
  • Stockbridge, GA
  • NPI 1093217085
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1033200365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 EAGLES LANDING PKWY STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815114",
            "telephone_number": "770-474-1431",
            "fax_number": "770-474-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 EAGLES LANDING PKWY STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815114",
            "telephone_number": "770-474-1431",
            "fax_number": "770-474-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "VERNON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN008312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaysie Green
• Tasha Lavette Green, M.D.
• Tunisia Green, LPN
• Vicki Johnson Green, DNP,FNP-BC,AGACNP-BC
• Sandea Anessa Greene-Harris, MD
• Wendy March Greenway, NP
• Marta Greer, M.A.
• Gregory L. Erdelyan MD PC
• Roger Gregory, PA-C
• Lannae Gresham

• Dentist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.