Leshundra Green

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN208297 Issued in GA

Practice address

230 New Oak Ridge TRL
Fayetteville, GA 30214-3763

Phone

(404) 940-1400

NPI assigned

Mar 28, 2021

Sex

Female

Sole proprietor

No

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.

• Care Consultants

  • In Home Supportive Care Agency
  • Newnan, GA
  • NPI 1922506898
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2021.

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1184201709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NEW OAK RIDGE TRL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143763",
            "telephone_number": "404-940-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NEW OAK RIDGE TRL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143763",
            "telephone_number": "404-940-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LESHUNDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN208297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharmane Marie Gray, MD
• Charlotte Elizabeth Grayson- Mathis, M.D.
• Christa Grayson, CADC-II
• Greater Atlanta Youth Development Corporation
• Greater Georgia Behavioral Health
• Neffera Green, RBT
• Wallace Maxwell Green, PAC
• Susanne Greenblatt, P.T.
• Greenline Health Services, Inc
• Kristiana Gregg, NURSE PRACTITIONER

• All providers in Fayetteville, GA
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; 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.