Amanda Knightly Green

Key facts

NPI

1508524802

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

1-128331 (AL)

Practice address

488 Saint Lukes Dr
Montgomery, AL 36117-7104

Phone

(334) 288-7808

Fax

(334) 288-8089

NPI assigned

Dec 3, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 17

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.

• The Center for Pain of Montgomery LLC Interventional Pain Medicine Physician · Montgomery, AL · NPI 1588710289
  Medicare reassignment Care Compare group NPD AL
• Emergency Services of Montgomery PC Emergency Medicine Physician · Prattville, AL · NPI 1528310323
  Medicare reassignment NPD AL · NURSE PRACTITIONER
• Paragon Contracting Services LLC Emergency Medicine Physician · Birmingham, AL · NPI 1225071459
  Medicare reassignment NPD AL · NURSE PRACTITIONER
• Rural Urgent Care LLC Urgent Care Clinic/Center · Centre, AL · NPI 1932586476
  Medicare reassignment NPD AL
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Columbus, GA · NPI 1871469239
  Care Compare group NPD
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Mobile, AL · NPI 1033916101
  Care Compare group
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Alexander City, AL · NPI 1043178882
  Care Compare group
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Opelika, AL · NPI 1053118125
  Care Compare group
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Alabaster, AL · NPI 1245037308
  Care Compare group
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Montgomery, AL · NPI 1285431346
  Care Compare group
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Prattville, AL · NPI 1437956505
  Care Compare group
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Montgomery, AL · NPI 1528865698
  Care Compare group
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Montgomery, AL · NPI 1548032352
  Care Compare group
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Montgomery, AL · NPI 1659178705
  Care Compare group
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Troy, AL · NPI 1669279733
  Care Compare group
• The Center for Pain of Montgomery LLC Durable Medical Equipment & Medical Supplies · Dothan, AL · NPI 1811794977
  Care Compare group
• Rural Urgent Care LLC Rural Health Clinic/Center · Eufaula, AL · NPI 1588450316
  NPD

Hospital & facility affiliations 1

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

• The Health Care Authority for Baptist Health an Affiliate of Uabhs General Acute Care Hospital · Prattville, AL · NPI 1942391230
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Center for Pain of Montgomery LLC (50 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prattville Baptist Hospital Hospital · Prattville, AL · CCN 010108

Merit-based Incentive Payment System (MIPS)

Final score

84.18 of 100 (group)

Quality

75.76

Promoting interoperability

98

Improvement activities

40

Cost

73.18

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.green.1@11679.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2024.

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1508524802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "855-527-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177104",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Mitylene Park Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173548",
            "country_code": "US",
            "telephone_number": "334-875-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AMANDA",
        "middle_name": "KNIGHTLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "1-128331",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-128331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Montgomery, AL · Nurse Practitioner in Alabama