Green Transitions MHT LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

894 Issued in SC

Legal business name

GREEN TRANSITIONS MHT LLC

Practice address

317 Ruth Vista Rd
Lexington, SC 29073-8628

Phone

(972) 616-4932

Fax

(877) 489-3949

NPI assigned

May 22, 2015

Organization subpart

No

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

Authorized official

Name

Donnielle Green, DO

Title

Owner / President

Phone

(972) 616-4932

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1144609215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 RUTH VISTA RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738628",
            "telephone_number": "972-616-4932",
            "fax_number": "877-489-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 RUTH VISTA RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738628",
            "telephone_number": "972-616-4932",
            "fax_number": "877-489-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN TRANSITIONS MHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DONNIELLE",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "972-616-4932",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Elizabeth Grande, APRN-C
• Elizabeth Culver Grandin
• Tiffany Grant, LMSW
• Tiffany B. Grant, MA, CCC-SLP
• Demetria Graves, OT
• Anne Martin Green
• Fertasia Me'Shaun Green, LMSW
• Jasmine Green, M.A. CCC-SLP
• Mark S Green, PA
• Paula Marie Green

• Internal Medicine Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.