MARICA GREEN (NPI# 1780093435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780093435 |
| Entity Type | Individual |
| Full Name | MARICA GREEN |
| Credential | FNP |
| Practice Address |
57 Jessamine Ave Georgetown SC 29440-5837 |
| Mailing Address |
1176 Lantana Cir Georgetown SC 29440-7608 |
| Practice Telephone | 8435468686 |
| Practice Fax Number | 8435461353 |
| Mailing Telephone | 8435455464 |
| Mailing Fax Number | 8435451353 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18865 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
57 JESSAMINE AVE |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-5837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199245 | Melanie Whitman | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440 | 2006-01-23 |
| 1912382052 | Anna Newell | Nurse Practitioner | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2015-07-29 |
| 1316345846 | St James Santee Family Health Center Inc | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-12-16 |
| 1013334200 | Georgetown Pediatric Center | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-03-25 |
| 1386956100 | Jennifer Anne Bailey | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2010-07-09 |
| 1760682637 | Georgetown Pediatric Center, PC | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2007-07-19 |
| 1699972174 | Jonathan Keith Mason | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2007-06-28 |
| 1366568594 | St. James-santee Family Health Center Inc. | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672292 | Megan Gresham | Nurse Practitioner | 20099 Office Cir Ste 208, Georgetown, DE 19947-3196 | 2020-09-01 |
| 1922619584 | Shawn Marie Kraus | Nurse Practitioner | 2000 Fm 1460 Apt 7201, Georgetown, TX 78626-4478 | 2020-08-16 |
| 1063022465 | Whitney Elizabeth Bauer | Nurse Practitioner | 112 Mallory Ln, Georgetown, KY 40324-1282 | 2020-07-31 |
| 1891311338 | Abby Hiller | Nurse Practitioner | 313 Square Bnd, Georgetown, TX 78633-4674 | 2020-06-20 |
| 1891311791 | Community Medical Center LLC | Nurse Practitioner | 5300 State Road 64 Ste 101, Georgetown, IN 47122-9178 | 2020-06-17 |
| 1801419213 | Megan Patrick | Nurse Practitioner | 3293 Center Rd, Georgetown, SC 29440-6792 | 2020-05-20 |
| 1962046284 | Christopher Earl Jaisingh | Nurse Practitioner | 1103 Rivery Blvd Ste 145, Georgetown, TX 78628-3034 | 2019-10-30 |
| 1083262059 | Bridget J. Pennell | Nurse Practitioner | 117 Village Blvd, Georgetown, KY 40324-8517 | 2019-09-03 |
| 1366902223 | Leslie Robin Duff | Nurse Practitioner | 1076 Degaris Mill Rd, Georgetown, KY 40324-9724 | 2019-03-25 |
| 1518422047 | Ray of Hope Recoveries Inc | Nurse Practitioner | 104 Canewood Center Dr Ste 3, Georgetown, KY 40324-8043 | 2019-02-08 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
Please comment or provide details below to improve the information on MARICA GREEN.
| 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.