Maureen Green, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN243097 Issued in GA

Practice address

5398 Thomaston Rd
Macon, GA 31220-8110

Phone

(770) 442-1911

Fax

(770) 442-0306

NPI assigned

Nov 24, 2020

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA
• FHIR API: https://fhir4.healow.com/fhir/r4/HHAAAA

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.

• Georgia Heart Physicians LLC

  • Cardiovascular Disease Physician
  • Macon, GA
  • NPI 1407994437
  Medicare reassignment NPD
• New Horizon Primary Care, LLC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1770794851
  Medicare reassignment NPD
• Southeast Medical Group, P.C.

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1235296054
  Medicare reassignment NPD
• Macon Electrophysiology Associates

  • Clinical Cardiac Electrophysiology Physician
  • Macon, GA
  • NPI 1306923495
  NPD (past)

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1427652114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 ZEBULON RD APT 828",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312207602",
            "telephone_number": "478-957-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 THOMASTON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312208110",
            "telephone_number": "770-442-1911",
            "fax_number": "770-442-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MAUREEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN243097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Gray, OTR
• Woodrow Wilson Gray Jr., MD PHD
• Sheryona Lapatrice Green-Owusu, DC
• Clyde O. Green, MD
• Kimberly Dainelle Green
• Melissa V. Green, M.S.
• Ted Adam Green, RPH
• Judah Norman Greenberg, M.D.
• Joannie W Greene, CRNA
• Lawanda Greene, NP

• Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.