Shannon May Greene, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT002549 Issued in GA

Practice address

4225 University Ave
Columbus, GA 31907-5679

Phone

(706) 565-4332

NPI assigned

Apr 19, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1588018261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 GENTIAN BLVD APT 9",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319078832",
            "telephone_number": "407-591-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 UNIVERSITY AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075679",
            "telephone_number": "706-565-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "SHANNON",
        "middle_name": "MAY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002549",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Green
• Bruce Greene II
• Casey Michael Greene, PHARM.D.
• Joyce Greene
• Labryson Greene, MD
• Taiwan Greene, RBT
• Tonya Greene
• Carnell Greenfield Jr.
• Cameron Greer, RBT
• Sonya Denise Gregg

• Athletic Trainer in Columbus, GA
• Providers in Columbus, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.