Active NPI
Monique Hudson Green, PA (ASCP)
- Anatomic Pathology Physician
- Atlanta, GA
National Provider Identifier
1497464283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 1149
- Practice address
- 5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764 - Phone
- (404) 449-5947
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 1149 | GA | Primary |
Addresses
Primary practice location
5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764
Mailing address
321 Parducci TRL
Atlanta, GA 30349-8126
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1149 | GA | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1497464283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 PARDUCCI TRL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303498126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 PEACHTREE DUNWOODY RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421764",
"telephone_number": "404-449-5947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MONIQUE",
"middle_name": "HUDSON",
"credential": "PA (ASCP)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "GA",
"license": "1149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.