Angela Maria Greene, RN, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN080567 Issued in GA

Practice address

1404 S Madison Ave
Monroe, GA 30655-2816

Phone

(770) 207-4125

Fax

(770) 207-4129

NPI assigned

Aug 11, 2006

Last updated

Jul 30, 2014By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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.

• Jackson County Health Department

  dba Jackson Co BD of HLTH

  • State or Local Public Health Clinic/Center
  • Jefferson, GA
  • NPI 1649317686
  NPD
• Fitzgerald OB/GYN

  • Obstetrics & Gynecology Physician
  • Fitzgerald, GA
  • NPI 1245410307
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1235140609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 S MADISON AVE",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552816",
            "telephone_number": "770-207-4125",
            "fax_number": "770-207-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S MADISON AVE",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552816",
            "telephone_number": "770-207-4125",
            "fax_number": "770-207-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "credential": "RN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN080567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000772835L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Reilly Goldstein, MSPT
• Golgi Labs, LLC
• Judy Nell Graves, LPN
• Amanda Kaye Green, PNP
• Charles Goodwin Green, PHARM.D.
• Lindsey Elizabeth Grieser, APRN
• Rena Groome, OT
• Natalie H Grooms, OT
• Guldmann Southeast
• Gwinnett Clinic, LTD

• Women's Health Nurse Practitioner in Monroe, GA
• Providers in Monroe, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.