Individual provider Active NPI

Rachel Christine Green

  • Physician Assistant
  • Canton, GA
National Provider Identifier
1265917975
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12849 Issued in GA
Practice address
1495 Hickory Flat Hwy
Canton, GA 30115-4266
Phone
(678) 513-2273
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12849 GA Primary

Addresses

Primary practice location

1495 Hickory Flat Hwy
Canton, GA 30115-4266

Mailing address

1495 Hickory Flat Hwy
Canton, GA 30115-4266
Phone (678) 513-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20250304002868 GA Practitioner - Physician Assistant 1052832250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Care, LLCGroup PAC ID 0941303622, 45 clinicians
Heart and Vascular Care East LLCGroup PAC ID 2163951997, 20 clinicians

Practice addresses (Care Compare)

11315 Johns Creek Pkwy
Suite 320
Duluth, GA 30097-2644
Phone (678) 513-2273

290 Heritage Walk
Suite B
Woodstock, GA 30188-6402
Phone (678) 513-2273

3905 Brookside Pkwy
Suite 202
Alpharetta, GA 30022-4425
Phone (678) 513-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Care East, LLC CurrentSince Sep 1, 2025 Accepting new patients
Heart and Vascular Care, LLC CurrentSince Feb 6, 2025 Accepting new patients

Locations

3905 Brookside Pkwy
Ste 202
Alpharetta, GA 30022
Phone (770) 751-9131

1495 Hickory Flat Hwy
Canton, GA 30115

3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040
Phone 6785132273292

Interoperability endpoints

  • Direct secure messaging: rachel.green.1@1164.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1265917975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 HICKORY FLAT HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154266",
            "telephone_number": "678-513-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 HICKORY FLAT HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154266",
            "telephone_number": "678-513-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RACHEL",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.