Kim McPherson Greene, RN, ED.D..

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN060677 Issued in GA

Practice address

1254 Concord Rd SE
Suite 204
Smyrna, GA 30080-4371

Phone

(678) 842-0604

Fax

(186) 628-1862

NPI assigned

May 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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.

• McPherson Health and Rehabilitation

  • Home Health Agency
  • Smyrna, GA
  • NPI 1164609921
  NPD (past) Authorized official

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1811164015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 CONCORD RD SE",
            "address_2": "SUITE 204",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804371",
            "telephone_number": "678-842-0604",
            "fax_number": "186-628-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 CONCORD RD SE",
            "address_2": "SUITE 204",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804371",
            "telephone_number": "678-842-0604",
            "fax_number": "186-628-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KIM",
        "middle_name": "MCPHERSON",
        "credential": "RN, ED.D..",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN060677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000844742A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000844742B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Graydots International Concepts
• Great Oak Counseling
• Adrian NMN Green
• Lamonica Green, LPC
• Shawn Green, ACNS-BC, PMHNP-BC
• Whitley Greene, LPC
• Jamie Annette Grice
• Anna Griffin, R PH
• Sherwood O Griggs Sr., CSA
• Mary Virginia Grigsby, M.S.

• Home Health Registered Nurse in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Home Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.