DR. STEPHEN KELLY GREEN (NPI# 1770508145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770508145 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN KELLY GREEN |
| Credential | D.C. |
| Practice Address |
4200 Wade Green Rd Nw Suite 27 Kennesaw GA 30144-1237 |
| Practice Telephone | 7704272799 |
| Practice Fax Number | 7704272243 |
| Mailing Telephone | 7704272799 |
| Mailing Fax Number | 7704272243 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIRO02560 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255976551 | Stephen Robert Green | Specialist/Technologist | 1515 Lee Rd, Guilford, VT 05301-8520 | 2019-11-10 |
| 1285970830 | Stephen Tyler Green | Student in an Organized Health Care Education/Training Program | 993 Muirfield Dr, Marietta, GA 30068-2643 | 2012-12-28 |
| 1780742528 | Stephen R. Green | Internal Medicine | 1401 East Van Buren Avenue, Mcalester, OK 74501 | 2006-12-05 |
| 1265456453 | Stephen C Green | Dentist | 37 North Ave, Norwalk, CT 06851 | 2006-07-27 |
| 1215901475 | Stephen G Green | Chiropractor | 11 Webster Avenue, Suite 3, Goshen, NY 10924 | 2006-02-15 |
| 1881679595 | Stephen Mark Green | Nurse Anesthetist, Certified Registered | 1376 Acworth Rd, Charlestown, NH 03603-4650 | 2005-12-14 |
| 1740289503 | Stephen Alan Green | Psychiatry & Neurology | 5410 Connecticut Ave Nw Ste 109, Washington, DC 20015-2819 | 2005-07-14 |
| 1245774397 | Stephen Green | Physician Assistant | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-12-08 |
| 1679987309 | Stephen C. Green | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-06-20 |
| 1275750713 | Stephen H Green | Surgery | 285 Sills Rd, Building 2 Suite A, Patchogue, NY 11772 | 2007-04-19 |
| Street Address |
4200 WADE GREEN RD NW SUITE 27 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992977466 | Acupractic Massage LLC | Clinic/Center | 4200 Wade Green Rd Nw, Suite # 27, Kennesaw, GA 30144-1237 | 2008-03-25 |
| 1538234851 | Jarod D Lynn | Chiropractor | 4200 Wade Green Rd Nw, Suite 27, Kennesaw, GA 30144-1237 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669094645 | Justin Mcdaniel | Chiropractor | 1301 Shiloh Rd Nw Ste 1610, Kennesaw, GA 30144-7168 | 2020-05-12 |
| 1659991362 | Lake Pointe Wellness Center | Chiropractor | 3450 Acworth Due West Rd Nw Ste 500, Kennesaw, GA 30144-1121 | 2020-04-22 |
| 1194357046 | Prospine Wellness & Injury Care PC | Chiropractor | 4200 Wade Green Rd Nw Ste 204, Kennesaw, GA 30144-1808 | 2020-02-09 |
| 1891327110 | Giselle Myrelis Santana Perez | Chiropractor | 3105 Creekside Village Dr Nw Ste 701, Kennesaw, GA 30144-4218 | 2020-02-05 |
| 1245872795 | John Michael Sparagna | Chiropractor | 501 Roberts Ct Nw Ste 6, Kennesaw, GA 30144-4968 | 2019-10-16 |
| 1114488723 | Jared Christopher Bartone | Chiropractor | 395 Lebeaux Ct Nw, Kennesaw, GA 30144-5185 | 2019-03-27 |
| 1295201960 | River Tree Chiropractic, LLC | Chiropractor | 4290 Bells Ferry Rd Nw Ste 118, Kennesaw, GA 30144-1300 | 2018-10-19 |
| 1477045185 | Big Idea Chiropractic Center LLC | Chiropractor | 3450 Acworth Due West Rd Nw Ste 330, Kennesaw, GA 30144-1002 | 2018-05-30 |
| 1013450543 | Born Again Chiropractic | Chiropractor | 319 Homestead Cir Nw, Kennesaw, GA 30144-1335 | 2016-12-01 |
| 1861861015 | Lorena Jesus | Chiropractor | 501 Roberts Ct Nw, Kennesaw, GA 30144-4941 | 2015-09-17 |
| Find all providers in KENNESAW | ||||
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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.