Kaycee Green, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT002914 Issued in GA

Practice address

6002 Professional Pkwy
Douglasville, GA 30134-5600

Phone

(770) 949-8558

NPI assigned

Apr 12, 2016

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1083078414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 ROLLINGWOOD DR",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359070964",
            "telephone_number": "256-504-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 PROFESSIONAL PKWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345600",
            "telephone_number": "770-949-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KAYCEE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystle Grant
• Tiffany C Grant
• Danielle Matrece Green-Watson, DPM
• Bryan Green, PHARMD
• Kassie Danielle Green
• Kesha P Green, LCSW
• Mary O. Green, SOCIAL WORKER
• Nakisha Green, LMT
• Sarah Green
• Shawnnetta N Green, LAPC

• Athletic Trainer in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.