Active NPI
Julia Latoya Green, NP
- Family Nurse Practitioner
- Marietta, GA
National Provider Identifier
1710249297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN194654
- Practice address
- 55 Whitcher St NE Ste 160
Marietta, GA 30060-1160 - Phone
- (404) 989-9473
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN194654 | GA | Primary |
Addresses
Primary practice location
55 Whitcher St NE Ste 160
Marietta, GA 30060-1160
Mailing address
5665 Ashford Dunwoody Rd
Suite 150
Atlanta, GA 30342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000 | Other | 0000000 |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN194654 | GA | MD | Family Nurse Practitioner |
Interoperability endpoints
- jgreen40252@direct.emory.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1710249297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 ASHFORD DUNWOODY RD",
"address_2": "SUITE 150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE STE 160",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601160",
"telephone_number": "404-989-9473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JULIA",
"middle_name": "LATOYA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN194654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0000000",
"identifier": "00000000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.