Stephanie Nicole Green, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN-NP231333 Issued in GA

Practice address

2060 Dan Proctor Dr Ste 2100
Saint Marys, GA 31558-3895

Phone

(912) 882-6767

NPI assigned

Feb 15, 2018

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

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146
• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

Merit-based Incentive Payment System (MIPS)

Final score

76.36 of 100Reported as group

Quality

46.72

Promoting interoperability

99

Improvement activities

40

Cost

75.31

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgreen3@secure.sghsmessaging.org

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.

• Cooperative Healthcare Services Inc

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402
  Medicare reassignment Care Compare group NPD
• Southeastern Surgical Associates

  • Surgery Physician
  • Brunswick, GA
  • NPI 1922142298
  NPD (past)

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

• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1124528237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 PAXTON RD",
            "city": "FOLKSTON",
            "state": "GA",
            "postal_code": "315379079",
            "telephone_number": "912-276-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 DAN PROCTOR DR STE 2100",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583895",
            "telephone_number": "912-882-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "APRN-NP231333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Michelle Gonzalez-Ogonowski
• Grace Family Healthcare
• Leticia T Graham, MSH, MPH, MSPC, LAPC
• Jenna C Graziano, OTR/L
• Melissa Green
• Benjamin Hill Greer, DMD
• Brandi Jo Grimes, QASP-S
• Heather Groom, LCSW
• Lucinda Gross Bedgood, M.ED., CCC-SLP
• Guardian Medical Care PLLC

• Primary Care Nurse Practitioner in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.