Ashley Green, PA-C, RD, LD/N

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113579 Issued in FL

Practice address

1301 S International Pkwy Ste 1041
Lake Mary, FL 32746-1410

Phone

(407) 732-7668

NPI assigned

Sep 29, 2020

Last updated

Apr 7, 2025By 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 2

Addresses

Other names 1

• Ashley Hamm Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Florida Family Health Center, Inc.

  dba True Health

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1740251883
  Medicare reassignment
• West Volusia Family and Sports Medicine Inc

  • Family Medicine Physician
  • Deland, FL
  • NPI 1548584600
  Medicare reassignment
• Central Florida Family Health Center Inc

  dba True Health

  • Federally Qualified Health Center (FQHC)
  • Sanford, FL
  • NPI 1396746988
  NPD
• Central Florida Family Health Center Inc.

  dba True Health

  • Federally Qualified Health Center (FQHC)
  • Sanford, FL
  • NPI 1255005476
  NPD

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1205443728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 SIMONTON PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466752",
            "telephone_number": "772-834-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S INTERNATIONAL PKWY STE 1041",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461410",
            "telephone_number": "407-732-7668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1639 N Volusia Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327633843",
            "country_code": "US",
            "telephone_number": "386-777-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ASHLEY",
        "credential": "PA-C, RD, LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113579",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HAMM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori A Grant, DPM
• Diane Gray, ARNP
• Erin Patricia Gray, MH12924
• Greater Orlando Orthopedic Group
• Catherine Greeley, P.T.
• Lacresha Green
• Arianne Greene
• Asha Dimitriy Greene, PMHNP-BC
• Greenwood Healthcare LLC (Greenwood Pharmacy)
• Brandon Gregg, DPT

• Physician Assistant in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.