Individual provider Active NPI

Barbara Lee Green-Muldrow, M.D.

  • Emergency Medicine Physician
  • College Park, GA
National Provider Identifier
1629457775
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
031927 Issued in GA
Practice address
110 Gran de CT
College Park, GA 30349-4039
Phone
(404) 993-5812
Fax
(770) 994-1219
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 031927 GA Primary

Addresses

Primary practice location

110 Gran de CT
College Park, GA 30349-4039

Mailing address

110 Gran de CT
College Park, GA 30349-4039
Phone (404) 993-5812

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031927GAMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1629457775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GRAN DE CT",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494039",
            "telephone_number": "404-993-5812",
            "fax_number": "770-994-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GRAN DE CT",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494039",
            "telephone_number": "404-993-5812",
            "fax_number": "770-994-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-MULDROW",
        "first_name": "BARBARA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "031927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.