TANAYSA GREEN


Address: 1702 Holly Hill Rd, Augusta, GA 30904-5050
Phone: 7063732908

TANAYSA GREEN (NPI# 1831719269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831719269
Entity Type Individual
Full Name TANAYSA GREEN
Credential FNP
Practice Address 1702 Holly Hill Rd
Augusta
GA 30904-5050
Practice Telephone 7063732908
Mailing Telephone 7063732908
Enumeration Date 2020-04-27
Last Update Date 2020-04-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN211924 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NA NA 01

Office Location

Street Address 1702 HOLLY HILL RD
City AUGUSTA
State GA
Zip Code 30904-5050

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518423706 Lawren Murray Tachias Registered Nurse 950 15th Street Downtown, Augusta, GA 30904 2019-02-13
1457851842 Heba Ahmed Pharmacist 912 15th Street, Augusta, GA 30904 2018-02-13
1124552690 Jenny Liles Student in an Organized Health Care Education/Training Program 1004 Chafee Ave, Augusta, GA 30904 2017-04-11
1932640836 Claudia Crawford Student in an Organized Health Care Education/Training Program 2624 Oakland Ave., Augusta, GA 30904 2017-03-13
1801240528 F. Marion Durst IIi Dmd PC Clinic/Center 2325 Washington Road, Augusta, GA 30904 2016-04-19
1689031296 Teresa Maria Martin Counselor 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 2016-01-27
1598122269 Jillian Wilkerson Counselor Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 2016-01-26
1760855241 Chase King Occupational Therapist 1735 Berkeley Rd, Augusta, GA 30904 2015-11-05
1962832246 April Underwood Fox Physician Assistant 1417 Pendleton Rd, Augusta, GA 30904 2013-11-22
1861734378 John Graham Theisen Obstetrics & Gynecology 810 Chafee Avenue, Augusta, GA 30904 2013-03-22
Find all providers in zip 30904

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558962894 Anna Marie Kodama Nurse Practitioner 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 2020-11-03
1588262372 Taylor Safford Nurse Practitioner 1348 Walton Way Ste 4100, Augusta, GA 30901-5107 2020-10-13
1699395749 Mary Elizabeth Dalis Nurse Practitioner 1025 Redbird Rd, Augusta, GA 30904-3181 2020-04-18
1316585185 Rebecca Williford Nurse Practitioner 1220 George C Wilson Dr, Augusta, GA 30909-4501 2019-12-12
1699322370 Ashley Staten Nurse Practitioner 2739 Huntcliffe Dr, Augusta, GA 30909-0662 2019-08-19
1053978205 Keneka V Allen Nurse Practitioner 6229 Key West Dr, Augusta, GA 30909-6745 2019-05-23
1487210589 Jason Schunk Nurse Practitioner S7645 Morning Crest Dr, Augusta, WI 54722-7579 2019-05-14
1740754308 Patricia Lynn Blevins Nurse Practitioner 300 E Hospital Dr, Augusta, GA 30905 2019-01-17
1174097190 Yuri Kang Nurse Practitioner Augusta University Medical Center 1120 15th Street, Augusta, GA 30912-0359 2019-01-12
1831661347 Lyudmila Milanina Reed Nurse Practitioner 1350 Walton Way Ste 5700, Augusta, GA 30901-2629 2018-12-21
Find all providers in AUGUSTA

Competitor

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City AUGUSTA
Zip Code 30904

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Dataset Information

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.

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