Green Canary Health Systems

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREEN CANARY HEALTH SYSTEMS

Practice address

6470 E Johns Xing Ste 160
Johns Creek, GA 30097-1500

Phone

(404) 528-0297

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Shantel Tatum

Title

Chief Executive Officer

Phone

(404) 528-0297

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1831962216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 E JOHNS XING STE 160",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 E JOHNS XING STE 160",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971500",
            "telephone_number": "404-528-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CANARY HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "SHANTEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "404-528-0297"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Goring
• Clinton Gouveia, PT, DPT
• Grace Envision LLC
• Grady Dental Care LLC
• Jennifer Dalton Graham, FNP-BC
• Sarah Green
• Sarah Zelle Green, CSFA
• Tiffany Renae Green
• Julie Greene, PMHNP-BC
• Grenataca Holdings Inc.

• Home Health Agency in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.