GREEN SQUARED (NPI# 1679116230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679116230 |
| Entity Type | Organization |
| Organization Name | GREEN SQUARED |
| Practice Address |
2418 Danville Rd Sw Ste C Decatur AL 35603-4278 |
| Practice Telephone | 2568228370 |
| Mailing Telephone | 2568228370 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | DR. JODI K GREEN (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 2568228370 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | GREEN LIFE CHIROPRACTIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Green Life Chiropractic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Green Squared LLC | 2332 West Scott Place, Denver, CO 80211 |
| Washington State Corporations | GREEN SQUARED, LLC | 144 E Woodin Ave, Chelan, WA 98816 |
| Street Address |
2418 DANVILLE RD SW STE C |
| City | DECATUR |
| State | AL |
| Zip Code | 35603-4278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164078440 | Jodi K Green | Chiropractor | 2418 Danville Rd Sw Ste C, Decatur, AL 35603-4278 | 2019-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
| Find all providers in zip 35603 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548536808 | Enrichment for Life PCc Inc. | Clinic/Center | 3080 Snapfinger Rd, Decatur, GA 30034-3624 | 2012-03-30 |
| 1205857828 | County of Macon | Clinic/Center | 1221 E Condit St, Decatur, IL 62521-1405 | 2006-07-21 |
| 1982170759 | Nikichia Butler | Clinic/Center | 5040 Snapfinger Woods Dr Ste 201c, Decatur, GA 30035-4020 | 2018-10-19 |
| 1770002693 | Reagin Decatur Group, LLC | Clinic/Center | 104 Church St, Decatur, GA 30030-3325 | 2017-09-12 |
| 1063942886 | Atlanta Holistic Health Center | Clinic/Center | 320 Winn Way Ste 101, Decatur, GA 30030-2106 | 2017-06-14 |
| 1346401775 | Tao Chiro LLC | Clinic/Center | 2545 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-3239 | 2008-06-18 |
| 1447459540 | Thomas Rohde, M.d., Ltd | Clinic/Center | 3798 E Fulton Ave, Decatur, IL 62521-5053 | 2007-07-17 |
| 1063538924 | South Dekalb Primary Care, PC | Clinic/Center | 1290 Columbia Dr, Decatur, GA 30032-2824 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216669 | Complete Womens Health LLC | Clinic/Center | 374 Spencer Lakes Dr, Meridianville, AL 35759-1532 | 2020-08-23 |
| 1245855261 | Healthcare Connections Community Health Services, LLC | Clinic/Center | 212 Woodley Ave, Butler, AL 36904-2738 | 2020-06-15 |
| 1437771052 | Phlebotomy Ink Allied Healthcare Services | Clinic/Center | 1512 Center Point Pkwy Ste 203, Birmingham, AL 35215-5663 | 2020-05-18 |
| 1922641406 | Regenerative Medicine of South Alabama LLC | Clinic/Center | 3929 Airport Blvd Ste 3-110, Mobile, AL 36609-2234 | 2019-10-28 |
| 1811450661 | Anew Begenning, LLC | Clinic/Center | 274 N 3rd St, Gadsden, AL 35901-3201 | 2019-04-09 |
| 1699239509 | Heartsease Counseling Services LLC | Clinic/Center | 2231 Victory Ln., Suite 500, Hoover, AL 35216 | 2019-01-24 |
| 1962914184 | Apex Integrity Chiropractic | Clinic/Center | 3120 Frederick Rd Ste K, Opelika, AL 36801-7135 | 2017-10-27 |
| 1356870349 | Trinity Healthcare Services, Inc | Clinic/Center | 5295 Riverchase Dr Apt 805, Phenix City, AL 36867-7511 | 2017-06-05 |
| 1801322748 | Symbol Health Solutions, L.lc. | Clinic/Center | 210 Commerce St, Brewton, AL 36426-2141 | 2017-05-11 |
| 1396279543 | Symbol Health Solutions, L.lc. | Clinic/Center | 22259-a Palmer St, Robertsdale, AL 36567 | 2017-04-14 |
| 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.