LYNDA R GREEN (NPI# 1558727214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558727214 |
| Entity Type | Individual |
| Full Name | LYNDA R GREEN |
| Other Name | LYNDA RUTH WADE |
| Credential | MS, LPC, NCC, BC-TMH |
| Practice Address |
426 Northrop Place Grovetown GA 30813 |
| Practice Telephone | 7069104970 |
| Mailing Telephone | 7069104970 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC011419 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275156598 | Lynda Marie Daily Green | Nurse Practitioner | 700 1st St Ste 746, Alamogordo, NM 88310-6523 | 2020-05-20 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| 1538141221 | Lynda Ann Green | Nurse Practitioner | 12127b Hwy 14 N, Ste 5, Cedar Crest, NM 87008 | 2005-11-17 |
| 1730179573 | Lynda R Green | Social Worker | 2450 Hollywood Blvd, Hollywood, FL 33020-6619 | 2005-10-24 |
| 1104878958 | Lynda Ann Green | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2006-05-17 |
| Street Address |
426 NORTHROP PLACE |
| City | GROVETOWN |
| State | GA |
| Zip Code | 30813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598276412 | Georgia Dental Professionals, PC | Dentist | 9596 Bentley Dr., Grovetown, GA 30813 | 2017-10-18 |
| 1558891895 | Jennifer M Humm | Dentist | 250 Merridian Drive, Grovetown, GA 30813 | 2017-06-19 |
| 1710335443 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 435 Lewiston Rd, Grovetown, GA 30813 | 2016-06-03 |
| 1689002610 | Patriots Park Dental, LLC | Dentist | 701 Devika Drive, Ste 10, Grovetown, GA 30813 | 2013-10-30 |
| 1255680096 | David Schulte Jr. | Internal Medicine | 925 Branch Ct Ste 2101, Grovetown, GA 30813 | 2012-09-07 |
| 1548519481 | Ashley Roberts Saunders | Pharmacist | 869 Horizon South Parkway, Grovetown, GA 30813 | 2012-09-06 |
| 1447569694 | Wallace Allen Partridge Jr. | Pharmacist | 5104 Wrightsboro Rd., Fred's Pharmacy 1699, Grovetown, GA 30813 | 2010-10-05 |
| 1497908149 | Sharon M Blair | Registered Nurse | 7640 Pleasantville Way, Grovetown, GA 30813 | 2008-10-28 |
| 1710160791 | Rebecca Meek | Nurse Practitioner | 469 Lewiston Rd, Grovetown, GA 30813 | 2007-12-12 |
| 1659434348 | Audra Harris | Case Manager/Care Coordinator | 7576 Pleasantville Way, Grovetown, GA 30813 | 2006-12-18 |
| Find all providers in zip 30813 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164913356 | Kimblee White | Counselor | 706 Erika Ln, Grovetown, GA 30813-8304 | 2018-05-23 |
| 1164769261 | Kelly Segraves Tyson | Counselor | 3913 Griese Ln, Grovetown, GA 30813-8301 | 2013-01-09 |
| 1245576800 | Jessica Singleton | Counselor | 855 Shirez Dr, Grovetown, GA 30813-2274 | 2012-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780859 | Jennifer Lynn Fedderick | Counselor | 459 Thrasher Rd, Plains, GA 31780-5310 | 2020-11-04 |
| 1376144766 | Arlicia Lagene Johnson | Counselor | 220 Osmanthus Way, Canton, GA 30114-7197 | 2020-11-03 |
| 1558962027 | Evan Kauper | Counselor | 2002 Smith Dr Nw, Kennesaw, GA 30144-1851 | 2020-11-02 |
| 1801496864 | Poonam A Patel | Counselor | 2916 Clairmont Rd Ne Apt 2413, Brookhaven, GA 30329-4476 | 2020-10-29 |
| 1740880061 | Pledger Behavior Consulting, LLC | Counselor | 7563 Highway 337, Summerville, GA 30747-6101 | 2020-10-27 |
| 1801495411 | Bianca Tiara Abrams | Counselor | 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 | 2020-10-23 |
| 1780283713 | Stacey Dougan | Counselor | 696 Mountain Dr Ne, Atlanta, GA 30342-3904 | 2020-10-21 |
| 1619576865 | Therapy Pond, LLC | Counselor | 1262 Concord Rd Se Ste 200, Smyrna, GA 30080-5307 | 2020-10-20 |
| 1164021259 | Miracles Outreach International | Counselor | 6825 Jimmy Carter Blvd Ste 1570b, Norcross, GA 30071-1215 | 2020-10-20 |
| 1699374025 | Alexxis Trimmings | Counselor | 205 W Montgomery Xrd Apt 106, Savannah, GA 31406-7121 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.