Active NPI
Jonita Green, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1730996273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 243645
- Practice address
- 4300 Paces Ferry Rd SE
Atlanta, GA 30339-5703 - Phone
- (404) 759-7213
- NPI assigned
- Dec 17, 2024
- Last updated
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 243645 | GA | Primary |
Addresses
Primary practice location
4300 Paces Ferry Rd SE
Atlanta, GA 30339-5703
Mailing address
2721 Bench Cir
Ellenwood, GA 30294-5510
Phone (404) 759-7213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2721 Bench Cir
Ellenwood, GA 30294-5510
720 Moreland Ave SE
Atlanta, GA 30316-3812
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243645 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Emerald Home Care Services | Current | Accepting new patients | |
| Core Horizons Telepsychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
| Core Horizons Telepsychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960
Organizations & group practices 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
- NPI 1902734452
-
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
- NPI 1598693145
-
- Home Health Agency
- Conyers, GA
- NPI 1598461345
-
- Mental Health Counselor
- College Park, GA
- NPI 1174863047
-
- Mental Health Counselor
- Marietta, GA
- NPI 1164346052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1730996273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 BENCH CIR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302945510",
"telephone_number": "404-759-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 PACES FERRY RD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395703",
"telephone_number": "404-759-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JONITA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "243645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.