Lauren B Green, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-153338 Issued in AL

Practice address

6228 Bradley Park Dr Ste a
Columbus, GA 31904-3605

Phone

(706) 322-1486

Fax

(706) 324-3419

NPI assigned

Feb 9, 2021

Last updated

Feb 9, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Renal Associates of Lagrange LLCGroup PAC ID 3678712312, 12 clinicians

Renal Associates of Alabama, LLCGroup PAC ID 7113271982, 13 clinicians

Renal Associates, LLCGroup PAC ID 7911891403, 12 clinicians

Renal Associates of Roanoke LLCGroup PAC ID 2961944129, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elmore Community Hospital Hospital, Wetumpka, AL, CCN 010097
• Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
• Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lauren.green@direct.davitaphysiciansolutions.com

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.

• Renal Associates of Lagrange LLC

  • Nephrology Physician
  • Lagrange, GA
  • NPI 1679813406
  Medicare reassignment Care Compare group NPD
• Renal Associates, LLC

  • Nephrology Physician
  • Columbus, GA
  • NPI 1205944311

  AL

  Medicare reassignment Care Compare group NPD
• Renal Associates of Alabama, LLC

  • Nephrology Physician
  • Montgomery, AL
  • NPI 1447742168

  Family

  Medicare reassignment Care Compare group NPD
• Renal Associates of Roanoke, LLC

  • Nephrology Physician
  • Roanoke, AL
  • NPI 1447017314
  Medicare reassignment Care Compare group NPD

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

• Health Care Authority for Baptist Health an Affiliate of Uabhs

  dba Baptist Medical Center East

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1104917780
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Medical Center South

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• Ivy Creek of Elmore, LLC

  dba Elmore Community Hospital

  • General Acute Care Hospital
  • Wetumpka, AL
  • NPI 1588795942
  Care Compare affiliation
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  dba Prattville Baptist Hospital

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1144812371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 BRADLEY PARK DR STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043605",
            "telephone_number": "706-322-1486",
            "fax_number": "706-324-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 BRADLEY PARK DR STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043605",
            "telephone_number": "706-322-1486",
            "fax_number": "706-324-3419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 Stark Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319062500",
            "country_code": "US",
            "telephone_number": "706-320-0801",
            "fax_number": "706-324-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LAUREN",
        "middle_name": "B",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-153338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://dva-portal.et1087.epichosted.com/vpn/index.html",
            "affiliation": "N",
            "endpointDescription": "EPIC CKD EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6228 Bradley Park Dr Ste A",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319043605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deyanna Evangela Green, COTA/L
• Eboni Green
• Jennifer Lynn Green, FNP
• Kayleigh Nicole Green, RN
• Kimberly Curlee Green, PT
• Teaka Green, NP
• Walker Green
• Bruce Greene II
• Casey Michael Greene, PHARM.D.
• Joyce Greene

• Family Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.