Darius Green, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

3721 New Macland Rd Ste 530
Powder Springs, GA 30127-2089

Phone

(470) 632-1009

NPI assigned

Aug 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kennestone Hospital, Inc

  • Psychiatric Hospital Unit
  • Atlanta, GA
  • NPI 1689361438
  NPD (past)

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1689341315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SUNSET LOOP",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301258417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 NEW MACLAND RD STE 530",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272089",
            "telephone_number": "470-632-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DARIUS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Gluckman, M.D.
• Bernard Goldstein
• Virginia A Goldstein, LCSW
• Good Samaritanhome Health LLC
• Grateful Hearts Healthcare Services LLC
• Lisa Marie Hannah Green, RN
• Greene House Primary Care
• Stephanie Nicole Greene, FNP-C
• Alicia Loraine Gregg, PT, DPT
• Shelly Lyn Groves, RPH

• Physical Therapy Assistant in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.