Adriane Green, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2575 Issued in AL

Practice address

3905 Johns Creek CT
Suite 250
Suwanee, GA 30024-1265

Phone

(770) 888-5221

Fax

(770) 623-5544

NPI assigned

Oct 2, 2006

Last updated

Dec 6, 2019By 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 1

Other names 1

• Adriane Green Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Kids Creek Therapy

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1700983772

  Speech-Language Pathologist

  NPD (past)
• Bay Area Community Medicine, PC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1043258700
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1760575625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 DAUPHIN SQ CONNECTOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072517",
            "telephone_number": "251-450-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 JOHNS CREEK CT",
            "address_2": "SUITE 250",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241265",
            "telephone_number": "770-888-5221",
            "fax_number": "770-623-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ADRIANE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006187",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293861298A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANE",
            "last_name": "GREEN",
            "credential": "MA CCC CLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elena M Grant, LPC
• Cody Gray, DMD
• Rita Grayson, LCSW
• Greater Atlanta Monitoring, LLC
• Green Wellness RX LLC
• Cynthia S Green, SLP
• Jeri Sansom Green, MS, LPC
• Nykol Green
• Toni Green, NP
• Lauren Greenway, LPC

• Speech-Language Pathologist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.