Individual provider Active NPI

Jennifer Lynn Green, FNP

  • Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1558088633
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP112501 Issued in GA
Practice address
1900 10TH Ave Ste 200
Columbus, GA 31901-3605
Phone
(706) 653-8556
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP112501 GA Primary
Nurse Practitioner 363L00000X RN112501 GA

Addresses

Primary practice location

1900 10TH Ave Ste 200
Columbus, GA 31901-3605

Mailing address

149 Woodstream Dr
Columbus, GA 31904-2716
Phone (706) 326-8079

Other practice location 1

1000 Brookstone Centre Pkwy
Columbus, GA 31904-4675
Phone (706) 507-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2727 Paces Ferry Rd SE
Suite 1 1100
Atlanta, GA 30339-6151

4264 Plume Way
Douglasville, GA 30135-9106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN112501GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Medicine of Columbus, Inc CurrentSince Jun 16, 2024 Accepting new patients
Columbus Department of Public Health PastSince Oct 1, 2022 Accepting new patients

Locations

1000 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (762) 261-3334

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1558088633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 WOODSTREAM DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042716",
            "telephone_number": "706-326-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE STE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013605",
            "telephone_number": "706-653-8556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Brookstone Centre Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319044675",
            "country_code": "US",
            "telephone_number": "706-507-4243",
            "fax_number": "706-507-4743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP112501",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN112501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.