Green Medical and Consulting, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREEN MEDICAL AND CONSULTING, LLC

Practice address

2350 McIngvale Rd
Hernando, MS 38632-8755

Phone

(662) 912-6399

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Kristie Peggins, NPNPI 1417192931

Title

Nurse Practitioner/Owner

Phone

(901) 601-0266

Specialties & licenses 1

Addresses

Other names 1

• None Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristie Neichall Peggins, FNP

  • Family Nurse Practitioner
  • Dayville, CT
  • NPI 1417192931
  NPD Authorized official

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1598538571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 MCINGVALE RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328755",
            "telephone_number": "662-912-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MCINGVALE RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328755",
            "telephone_number": "662-912-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MEDICAL AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "PEGGINS",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "901-601-0266",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katherine Grace Giamportone
• Gibbs Medical Home Visits LLC
• Rebekah Glaze, MS, SLP-CF
• Patricia Goss
• Misty Kay Gray, LMSW
• Natasha D Griffin, LMSW
• Heath Taylor Griffith, DPT
• Amanda Ellen Hampton, FNP-BC
• Ashley Keller Harbour
• Toveda Lavet Harper

• Clinic/Center in Hernando, MS
• Providers in Hernando, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.