Amanda Knightly Green

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-128331 Issued in AL

Practice address

488 Saint Lukes Dr
Montgomery, AL 36117-7104

Phone

(334) 288-7808

Fax

(334) 288-8089

NPI assigned

Dec 3, 2021

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

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 LLCGroup PAC ID 3678473972, 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 100Reported as group

Quality

75.76

Promoting interoperability

98

Improvement activities

40

Cost

73.18

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Center for Pain of Montgomery LLC

  • Interventional Pain Medicine Physician
  • Montgomery, AL
  • NPI 1588710289
  Medicare reassignment Care Compare group NPD
• Emergency Services of Montgomery PC

  • Emergency Medicine Physician
  • Prattville, AL
  • NPI 1528310323

  Nurse Practitioner

  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  Nurse Practitioner

  Medicare reassignment NPD
• Rural Urgent Care LLC

  • Urgent Care Clinic/Center
  • Centre, AL
  • NPI 1932586476
  Medicare reassignment NPD
• Rural Urgent Care LLC

  dba MainStreet Family Care

  • Rural Health Clinic/Center
  • Eufaula, AL
  • NPI 1588450316
  NPD
• The Center for Pain of Montgomery LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbus, GA
  • NPI 1871469239
  NPD

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

  dba Prattville Baptist Hospital

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "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": []
}

• Mary Reading Graydon, MA, LMFT
• Great Health Medical Al PC
• Great Oaks Healthcare Management, LLC
• Great Oaks Healthcare Management, LLC
• Greater Montgomery Patient Centered Gastroenterology and Hepatology
• Betty Green
• Eboni Da'Shaun Green, LPTA
• Pamela McKee Green, RDN, LD, CDE
• Perry G Green, DMD
• Mary A Greene-McIntyre, M.D., M.P.H, SSBB

• Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.