Individual provider Active NPI

Nathalie Green

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1558712679
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN205829 Issued in GA
Practice address
4307 Rainer Dr
Atlanta, GA 30349-3993
Phone
(404) 453-8402
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN205829 GA Primary

Addresses

Primary practice location

4307 Rainer Dr
Atlanta, GA 30349-3993

Mailing address

4307 Rainer Dr
Atlanta, GA 30349-3993
Phone (404) 453-8402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160902000447 GA Practitioner - Nurse Practitioner 8325334105 Reassigns benefits to 2 organizations
I20250318003822 NC Practitioner - Nurse Practitioner 8325334105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Jun 29, 2016 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jun 29, 2016 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 10, 2024 Accepting new patients
Health Education Assessment and Leadership, Inc Past Accepting new patients

Locations

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

2600 Mlk Jr Dr SW
Ste 100
Atlanta, GA 30311
Phone (813) 413-7624

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJFHBD

Organizations & group practices 4

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1558712679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 RAINER DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303493993",
            "telephone_number": "404-453-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 RAINER DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303493993",
            "telephone_number": "404-453-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NATHALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN205829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.