Nadine Anderson-Greenland, NP-C, PMHNP
Individual provider Active NPI Family Nurse Practitioner · Grayson, GA
NPI 1265805709 · NPPES record last updated Jan 25, 2019
Key facts
- NPI
- 1265805709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN168657 (GA)
- Practice address
- 879 Bramble Way
Grayson, GA 30017-4282 - Phone
- (404) 729-9859
- NPI assigned
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emory Specialty Associates, LLC
Practice addresses (Care Compare)
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812
Hospital & facility affiliations
- Emory Hillandale Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160202001748 | GA | Practitioner - Nurse Practitioner | 3476857004 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN168657 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergent Testing LLC | Current |
Accepting new patients | |
| Emory Specialty Associates, LLC | Current |
Accepting new patients |
Locations
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
1776 Old Spring House Ln
Atlanta, GA 30338
Phone (770) 454-0091
13 Corporate Blvd NE
Ste 250
Brookhaven, GA 30329
Phone (229) 442-7210
2675 N Decatur Rd
Ste 408
Decatur, GA 30033
Phone (404) 501-7100
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
Interoperability endpoints
- nandersongreenland21325@direct.emory.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN168657 | GA | Yes |
Addresses
Primary practice location
879 Bramble Way
Grayson, GA 30017-4282
Mailing address
2801 Dekalb Medical Pkwy
Lithonia, GA 30058-4996
Phone (404) 501-8000
Other providers in Grayson, GA
- Ak Surgical Assistants
- Andrea Marie Alexis
- Altara Behavioral Health LLC
- Edith Amankwah
- Niyati Amin
- Angelic Clinical Services, LLC
- Chidinma Anuliekette
- At My Place, My Home LLC
- Atlanta Regenerative Healthcare LLC
- Zenia Ballard
All providers in Grayson, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.