Individual provider Active NPI

Toni Green, NP

  • Family Nurse Practitioner
  • Suwanee, GA
National Provider Identifier
1821457615
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN170227 Issued in GA
Practice address
155 Treadstone Overlook
Suwanee, GA 30024-1529
Phone
(313) 400-3879
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RN170227 GA
Gerontology Nurse Practitioner 363LG0600X 4704241199 MI
Family Nurse Practitioner 363LF0000X RN170227 GA Primary

Addresses

Primary practice location

155 Treadstone Overlook
Suwanee, GA 30024-1529

Mailing address

155 Treadstone Overlook
Suwanee, GA 30024-1529
Phone (313) 404-3879

Other practice location 1

195 W 9 Mile Rd Ste 207
Ferndale, MI 48220-1750
Phone (313) 404-3879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160513001972 MI Practitioner - Nurse Practitioner 4284923285 Reassigns benefits to 1 organization
I20191217000861 GA Practitioner - Nurse Practitioner 4284923285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Medical Consulting, P.C. CurrentSince Oct 1, 2019 Accepting new patients
Medical Director Services PC CurrentSince Apr 30, 2024 Accepting new patients
Vision Medical Consulting, P.C. PastSince Aug 1, 2022 Accepting new patients
Mme Enterprises Inc PastSince Aug 2, 2016 Accepting new patients
Osh-Mi Physicians Group PC Internal Medicine Past Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

3715 Northside Pkwy NW
Ste 2100
Atlanta, GA 30327
Phone (770) 938-1757

19840 Harper Ave
Harper Woods, MI 48225
Phone (313) 381-9556

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1821457615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 TREADSTONE OVERLOOK",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241529",
            "telephone_number": "313-404-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 TREADSTONE OVERLOOK",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241529",
            "telephone_number": "313-400-3879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 W 9 Mile Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "MI",
            "postal_code": "482201750",
            "country_code": "US",
            "telephone_number": "313-404-3879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TONI",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "RN170227",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704241199",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN170227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.