Individual provider Active NPI

April Lakeshia Green, NP

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1194076836
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R874728 Issued in MS
Practice address
911 Ellis Ave
Jackson, MS 39209-6256
Phone
(601) 533-7016
Fax
(769) 333-9150
NPI assigned
Sep 20, 2012
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R874728 MS Primary

Addresses

Primary practice location

911 Ellis Ave
Jackson, MS 39209-6256

Mailing address

PO Box 746085
Atlanta, GA 30374-6085
Phone (312) 733-9730

Other identifiers 1

IdentifierTypeStateIssuer
R874728OtherMSMISSISSIPPI

Other names 1

  • April Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20130502000420 MS Practitioner - Nurse Practitioner 5395982730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R874728MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G a Carmichael Family Health Center Inc Current Accepting new patients
G a Carmichael Family Health Center, Inc CurrentSince Oct 1, 2024 Accepting new patients
G a Carmichael Family Health Center Inc Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
McFatter Family Medical, LLC PastSince Jun 18, 2023 Accepting new patients
G a Carmichael Family Health Center. Inc. Nurse Practitioner Past Accepting new patients

Locations

16463 US Highway 49
Belzoni, MS 39038
Phone (662) 247-1252

10340 Highway 433 W
Bentonia, MS 39040
Phone (662) 755-2518

364 Martin Luther King Dr
Canton, MS 39046
Phone (601) 859-3578

1668 W Peace St
Canton, MS 39046
Phone (601) 859-0050

529 Mace St
Canton, MS 39046
Phone (601) 859-1028

303 W Franklin St
Carthage, MS 39051
Phone (601) 267-9658

3439 Vaughan Rd
Vaughan, MS 39179
Phone (662) 673-0373

110 N Jerry Clower Blvd
Ste L
Yazoo City, MS 39194
Phone (662) 746-0907

1835 School Dr
Yazoo City, MS 39194
Phone (662) 716-0691

6789 Highway 49 Frontage Rd
Yazoo City, MS 39194
Phone (662) 746-6200

1547 Jerry Clower Blvd
Yazoo City, MS 39194
Phone (662) 746-6531

Interoperability endpoints

  • Direct secure messaging: april.green.p1@direct.gacfhc.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1194076836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746085",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746085",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 ELLIS AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392096256",
            "telephone_number": "601-533-7016",
            "fax_number": "769-333-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "APRIL",
        "middle_name": "LAKESHIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R874728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI",
            "identifier": "R874728",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.