Lillie Ruth Green

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

GAA-NP004941 Issued in GA

Practice address

278 Lasalle Lefall Dr
Quincy, FL 32351-5324

Phone

(229) 726-3984

NPI assigned

Oct 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, GA2 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, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Doctor United Group Inc

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1124581632
  Medicare reassignment NPD
• North Florida Rural Health Corp

  • Multi-Specialty Clinic/Center
  • Chattahoochee, FL
  • NPI 1912641341
  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  GA

  Medicare reassignment
• Inpatient Consultants of Georgia, Inc

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1659403970
  Medicare reassignment
• North Florida Rural Health Corp

  • Community/Retail Pharmacy
  • Chattahoochee, FL
  • NPI 1720849540
  NPD

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1205435641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 BLOSSOM CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323056707",
            "telephone_number": "229-726-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 LASALLE LEFALL DR",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323515324",
            "telephone_number": "229-726-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LILLIE",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007976",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "GAA-NP004941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116000800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andriane L Glynn, RN
• Golden Angel Caring Hearts
• Gracious Home Health Services, LLC
• Ahsia Ke'Amber Gray, RN
• Eliana Green, PA-C
• Socorhia Green
• Tiffany D Green
• David Grippe, M.D.
• Guardian Angels Home Care Solutions
• Marcus Marion Gurley Jr., PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Quincy, FL
• Providers in Quincy, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.