Individual provider Active NPI

Victoria La Shelle Green, MD

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1477650273
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
038240 Issued in GA
Practice address
69 Jesse Hill Jr Dr SE
4TH Floor Dept GYN/OB
Atlanta, GA 30303-3033
Phone
(404) 616-3540
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 038240 GA Primary

Addresses

Primary practice location

69 Jesse Hill Jr Dr SE
4TH Floor Dept GYN/OB
Atlanta, GA 30303-3033

Mailing address

69 Jesse Hill Jr Dr SE
4TH Floor Dept GYN/OB
Atlanta, GA 30303-3033

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014001276 GA Practitioner - Obstetrics/Gynecology 2062605678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1247 Donald Lee Hollowell Hwy NW
Atlanta, GA 30318-6657
Phone (404) 616-2265

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

2695 Buford Highway NE
Atlanta, GA 30324-3278
Phone (404) 616-6999

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038240GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Obstetrics & Gynecology CurrentSince Jan 31, 1994 Accepting new patients
Emory Medical Care Foundation Inc Obstetrics & Gynecology Current Accepting new patients
The Emory Clinic Inc CurrentSince Jun 23, 2021 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jan 31, 1994 Accepting new patients
Emory Health Care Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

69 Jesse Hill Jr Dr SE
Fl 4
Atlanta, GA 30303
Phone (404) 251-8801

2695 Buford Hwy NE
Atlanta, GA 30324
Phone (404) 454-2519

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1247 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318
Phone (404) 616-2265

4555 N Shallowford Rd
Dunwoody, GA 30338
Phone (404) 778-4455

Interoperability endpoints

  • Direct secure messaging: vgreen21742@direct.emory.org

Organizations & group practices 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477650273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 JESSE HILL JR DR SE",
            "address_2": "4TH FLOOR DEPT GYN/OB",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 JESSE HILL JR DR SE",
            "address_2": "4TH FLOOR DEPT GYN/OB",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033033",
            "telephone_number": "404-616-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "VICTORIA",
        "middle_name": "LA SHELLE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "038240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.