Active NPI
Pamela Green
- Home Health Registered Nurse
- Macon, GA
National Provider Identifier
1205740644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN293971
- Practice address
- 562 Cherry St Apt 108
Macon, GA 31201-6312 - Phone
- (770) 715-8469
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 95269757 | CA | |
| Home Health Registered Nurse | 163WH0200X | RN293971 | GA | Primary |
Addresses
Primary practice location
562 Cherry St Apt 108
Macon, GA 31201-6312
Mailing address
2114 N Flamingo Rd # 1257
Pembroke Pines, FL 33028-3501
Phone (770) 715-8469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1205740644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 N FLAMINGO RD # 1257",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330283501",
"telephone_number": "770-715-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 CHERRY ST APT 108",
"city": "MACON",
"state": "GA",
"postal_code": "312016312",
"telephone_number": "770-715-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "95269757",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "RN293971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.