SHANNON GREENE (NPI# 1760027882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760027882 |
| Entity Type | Individual |
| Full Name | SHANNON GREENE |
| Practice Address |
6132 Hawkinsville Rd Macon GA 31216-5848 |
| Practice Telephone | 4787880066 |
| Mailing Telephone | 4787880066 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN085959 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588018261 | Shannon May Greene | Specialist/Technologist | 4225 University Ave, Columbus, GA 31907-5679 | 2016-04-19 |
| 1982895868 | Shannon M. Greene | Marriage & Family Therapist | 2306 Lake Austin Blvd, Austin, TX 78703-4546 | 2007-08-06 |
| Street Address |
6132 HAWKINSVILLE RD |
| City | MACON |
| State | GA |
| Zip Code | 31216-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730722521 | Debbie Jean Childress | Counselor | 6132 Hawkinsville Rd, Macon, GA 31216-5848 | 2019-10-24 |
| 1215534904 | Meshell Denice Cook | Licensed Practical Nurse | 6132 Hawkinsville Rd, Macon, GA 31216-5848 | 2020-10-06 |
| 1851936975 | Maria Diane Little | Licensed Practical Nurse | 6132 Hawkinsville Rd, Macon, GA 31216-5848 | 2019-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125282 | Georgia Treatment Services | Clinic/Center | 6132 Hawkinsvill Road, Macon, GA 31216 | 2019-07-02 |
| 1720495898 | Erma Wells Heard | Nurse Practitioner | 217 Pendleton Ct., Macon, GA 31216 | 2014-07-21 |
| 1881959518 | Leigh Underwood Bennett | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2012-07-09 |
| 1295980456 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4585 Hartley Bridge Rd., Macon, GA 31216 | 2008-12-01 |
| 1013083336 | Rutland Medical Supply | Durable Medical Equipment & Medical Supplies | 3035 Hartley Bridge Road, Suite 2, Macon, GA 31216 | 2006-11-28 |
| 1477074318 | Hollie K Bradley | Nurse Practitioner | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2017-06-30 |
| 1104206713 | Hartley Bridge Family Dentistry | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2015-06-09 |
| 1144432048 | Family Specialty Care LLC | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2007-05-04 |
| 1164598710 | Kirsten J Hampton | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| 1063588614 | Cameka N Scarborough | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| Find all providers in zip 31216 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669038147 | Ashanti Shanklin | Licensed Practical Nurse | 612 Juniper Ln, Macon, GA 31220-7648 | 2019-05-10 |
| 1548654536 | Felicia Michelle Vinson | Licensed Practical Nurse | 141 Walnut Ridge Dr, Macon, GA 31211-6619 | 2015-03-27 |
| 1295133700 | Irecia Crystal Freeman | Licensed Practical Nurse | 9112 Juniper Ln, Macon, GA 31220-7673 | 2014-12-15 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1184934549 | Crystal M Wilson | Licensed Practical Nurse | 270 Dolly Madison Ct, Macon, GA 31220-2605 | 2010-10-19 |
| 1215534904 | Meshell Denice Cook | Licensed Practical Nurse | 6132 Hawkinsville Rd, Macon, GA 31216-5848 | 2020-10-06 |
| 1851936975 | Maria Diane Little | Licensed Practical Nurse | 6132 Hawkinsville Rd, Macon, GA 31216-5848 | 2019-11-13 |
| 1417455742 | Robin Kelly | Licensed Practical Nurse | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2018-02-01 |
| 1316456031 | Jena Casas | Licensed Practical Nurse | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2017-09-26 |
| 1326584137 | Margaret Jennings | Licensed Practical Nurse | 890 Burrus Rd, Macon, GA 31204-1441 | 2017-01-18 |
| Find all providers in MACON | ||||
Please comment or provide details below to improve the information on SHANNON GREENE.
| 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.