NPIMap

Individual provider Active NPI

Georgina L Green, MD

  • Family Medicine Physician
  • Paola, KS
National Provider Identifier
1114309358
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-41302 Issued in KS
Practice address
1318 Kansas Dr
Paola, KS 66071-2107
Phone
(913) 588-1227
NPI assigned
Jun 24, 2015
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-41302 KS Primary
Family Medicine Physician 207Q00000X 2015020155 MO

Addresses

Primary practice location

1318 Kansas Dr
Paola, KS 66071-2107

Mailing address

14805 Hadley St
Overland Park, KS 66223-2772
Phone (913) 403-6036

Other practice location 1

6675 Holmes Rd Ste 450
Kansas City, MO 64131-1173
Phone (816) 276-7650

Other practice location 2

15435 W 134th Pl Ste 103
Olathe, KS 66062-6135
Phone (913) 588-1227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107002227 KS Practitioner - Family Practice 6002102340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami County Medical Center IncGroup PAC ID 2163311457, 25 clinicians

Practice addresses (Care Compare)

2100 Baptiste Dr
Paola, KS 66071-1314
Phone (913) 294-2327

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2015020155MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami County Medical Center Inc. CurrentSince Sep 10, 2018 Accepting new patients
Miami County Medical Center Inc. Family Medicine CurrentSince Sep 10, 2018 Accepting new patients
Miami County Medical Center Inc Current Accepting new patients
Goppert - Trinity Family Care, LLC Family Medicine Past Accepting new patients

Locations

1318 Kansas Dr
Paola, KS 66071
Phone (913) 445-5678

2100 Baptiste Dr
Paola, KS 66071
Phone (913) 294-2327

Interoperability endpoints

  • Direct secure messaging: georgina.green@hca2.eclinicaldirectplus.com
  • Direct secure messaging: ggreen183394@direct.kuha.org

Organizations & group practices 4

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1114309358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 HADLEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232772",
            "telephone_number": "913-403-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 KANSAS DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660712107",
            "telephone_number": "913-588-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6675 Holmes Rd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311173",
            "country_code": "US",
            "telephone_number": "816-276-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15435 W 134th Pl Ste 103",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660626135",
            "country_code": "US",
            "telephone_number": "913-588-1227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "GEORGINA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-41302",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015020155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

Verify at the official NPI Registry.