Active NPI
Lavorne Blyden-Green
- Licensed Practical Nurse
- Jonesboro, GA
National Provider Identifier
1346545662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 346089-01
- Practice address
- 7733 Town CT
Jonesboro, GA 30236-2395 - Phone
- (404) 781-8166
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | |||
| Licensed Practical Nurse | 164W00000X | 346089-01 | NY | Primary |
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | |||
| Licensed Practical Nurse | 164W00000X | PN5264319 | FL | |
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Home Delivered Meals | 332U00000X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Non-Pharmacy Dispensing Site | 332900000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
7733 Town CT
Jonesboro, GA 30236-2395
Mailing address
PO Box 2312
Jonesboro, GA 30237-2312
Phone (404) 781-8166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5264319 | FL | MD | Licensed Practical Nurse |
| 346089-01 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1346545662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2312",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302372312",
"telephone_number": "404-781-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7733 TOWN CT",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302362395",
"telephone_number": "404-781-8166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLYDEN-GREEN",
"first_name": "LAVORNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "346089-01",
"primary": true
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5264319",
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.