Rona Renell Green, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000697 Issued in GA

Practice address

67 W. Campbellton St.
Fairburn, GA 30213

Phone

(770) 964-2201

Fax

(770) 306-9744

NPI assigned

Oct 4, 2006

Last updated

Apr 24, 2008By the provider in NPPES

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

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgreen@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Fulton Family Foot Care, Inc.

  • Podiatric Clinic/Center
  • Fairburn, GA
  • NPI 1154536126
  Medicare reassignment NPD Authorized official
• Greater Alabama Family Foot Care Inc

  • Podiatric Clinic/Center
  • Lanett, AL
  • NPI 1295940260
  Medicare reassignment NPD Authorized official
• Alabama South Family Podiatry P C

  • Podiatrist
  • Dothan, AL
  • NPI 1932114428
  Medicare reassignment
• Greater Alabama Family Foot Care, LLC

  • Podiatric Clinic/Center
  • Roanoke, AL
  • NPI 1558578237
  NPD (past) Authorized official
• Personal Touch Medical Center, PC

  • Family Medicine Physician
  • Fairburn, GA
  • NPI 1275604308
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1659467223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302130188",
            "telephone_number": "770-964-2201",
            "fax_number": "770-306-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W. CAMPBELLTON ST.",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "30213",
            "telephone_number": "770-964-2201",
            "fax_number": "770-306-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RONA",
        "middle_name": "RENELL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000697",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE GEORGIA",
            "identifier": "57106",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY GEORGIA",
            "identifier": "25127",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GEORGIA",
            "identifier": "4355747",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE GA",
            "identifier": "2700177",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GEORGIA",
            "identifier": "451998",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BLUE CROSS BLUE SHEILD",
            "identifier": "51510661",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BCBS (ROANOKE OFFICE)",
            "identifier": "515129440",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000558467A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaquanda Shantivus Gordon, PMHNP-BC
• Paul Everett Graham
• Jasmine Grant, LAPC
• Christen L Green
• La'Doria Richelle Green
• Pavielle Gregory
• Latonia Latrice Grisby, RN
• Keesha Tamara Maria Hamilton-Fowler, NP
• Jessica Hardwick, MS, RDN, LD
• Tranae Felicia Harris-Bingham, PHD, LPC

• Foot & Ankle Surgery Podiatrist in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.