Georgette Greene, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010880 Issued in KY

Practice address

101 N Main St
Stanton, KY 40380-2174

Phone

(606) 775-0515

Fax

(606) 552-0694

NPI assigned

Jan 6, 2017

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 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Connective Healing LLC

  • Clinical Social Worker
  • Stanton, KY
  • NPI 1013444918
  NPD
• Arc Health Systems, LLC

  • Psychiatric Hospital
  • Ashland, KY
  • NPI 1346922903
  NPD (past)
• Pioneer Health Group LLC

  • Addiction Medicine (Family Medicine) Physician
  • Louisa, KY
  • NPI 1235585126
  NPD (past)
• St. Claire Medical Center Inc.

  • Rural Health Clinic/Center
  • Sandy Hook, KY
  • NPI 1134267594
  NPD (past)

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1700322385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802174",
            "telephone_number": "606-783-6400",
            "fax_number": "606-783-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802174",
            "telephone_number": "606-775-0515",
            "fax_number": "606-552-0694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Water St",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412301347",
            "country_code": "US",
            "telephone_number": "606-649-2211",
            "fax_number": "606-638-1399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 S Main Cross St",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412301330",
            "country_code": "US",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Recovery Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411018800",
            "country_code": "US",
            "telephone_number": "606-220-0010",
            "fax_number": "606-744-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "GEORGETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3010880",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100457640",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3010880",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Business LLC
• Lauren E Faulkner, BS
• Adrienne Graeub Fortner, APRN
• Tammy Lynn Geer, OTR
• Lisa Nicole Gillispie
• Monte Jack Gross Jr., R.PH.
• Kimberly Hargis Hall, NBCT
• Thomas Zachary Hamblen, PHARMD
• Nathanael Earl Hill
• James Kevin Holbrook, MD

• All providers in Stanton, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.