MS. KIMBERLY DAINELLE GREEN (NPI# 1891083887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891083887 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY DAINELLE GREEN |
| Practice Address |
761 Poplar St Suite # 2 I Macon GA 31201-2082 |
| Practice Telephone | 4784611955 |
| Practice Fax Number | 4787452054 |
| Mailing Telephone | 4784611955 |
| Mailing Fax Number | 4787452054 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 011-R-0210 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060531 | Kimberly Green | Technician | 1793 Trap Springs Rd, Grafton, WV 26354-4520 | 2020-10-13 |
| 1851959902 | Kimberly Marie Green | Registered Nurse | 1132 Long Mdw, Salado, TX 76571-5453 | 2019-06-04 |
| 1770091373 | Kimberly Green | Speech-Language Pathologist | 3228 Mason Dr, Plano, TX 75025-4536 | 2018-01-17 |
| 1750822607 | Kimberly Green | Counselor | 238 Nicholson St Ne, Washington, DC 20011-2510 | 2017-03-12 |
| 1871990317 | Kimberly Green | Speech-Language Pathologist | 656 Players Crossing Way, Bowling Green, KY 42104-5534 | 2014-11-27 |
| 1902187909 | Kimberly Green | Registered Nurse | 11838 193rd St, Saint Albans, NY 11412-3339 | 2011-09-02 |
| 1447424197 | Kimberly Michelle Green | Internal Medicine | 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 | 2008-04-14 |
| 1720174873 | Kimberly J Green | General Practice | 1090 Cambridge Sq, Suite A, Alpharetta, GA 30009-1875 | 2006-10-05 |
| 1881702280 | Kimberly Cannon Green | Occupational Therapist | 102 West Sencea St, Suite 206, Manlius, NY 13104 | 2006-08-26 |
| 1275514077 | Kimberly D. Green | Marriage & Family Therapist | 3309 56th St Nw, Suite 101, Gig Harbor, WA 98335-8572 | 2005-11-09 |
| Street Address |
761 POPLAR ST SUITE # 2 I |
| City | MACON |
| State | GA |
| Zip Code | 31201-2082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356721484 | Neurology Services of Florida | Neurological Surgery | 761 Poplar St, Ste 1-k, Macon, GA 31201-2082 | 2015-06-03 |
| 1760818124 | Katie Elizabeth Rutland | Marriage & Family Therapist | 761 Poplar St, Ste 1-k, Macon, GA 31201-2082 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104262989 | Deundray Bentley | Contractor | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2013-05-20 |
| 1417393208 | Darryl Bentley | Contractor | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2013-05-20 |
| 1750626248 | Brenda Harris Goolsby | Contractor | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2012-12-10 |
| 1518202126 | Tameka Harris | Contractor | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2012-12-07 |
| 1275878886 | Brittany Muir | Contractor | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2012-12-07 |
| 1265777916 | Brandyn Ann Pye | Contractor | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2012-12-06 |
| 1033476668 | Tavorris D. White | Contractor | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2012-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900011 | Tamekia Richardson | Contractor | 861 Frank Rd, Fitzgerald, GA 31750-9049 | 2020-10-20 |
| 1285232777 | Khrystal Wright | Contractor | 4016 Foxborough Blvd, Valdosta, GA 31602-6726 | 2020-10-15 |
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1790392652 | Najee Shafi | Contractor | 100 Archstone Sq, Mcdonough, GA 30253-5820 | 2020-09-24 |
| 1144837071 | Angela M Bodie | Contractor | 406 Carrington Green Pkwy, Mcdonough, GA 30252-7693 | 2020-09-24 |
| 1841806841 | Ashley De Plato | Contractor | 3813 Robin Ln, Valdosta, GA 31605-5124 | 2020-09-16 |
| 1407462401 | Pamela Woodard | Contractor | 868 Cochise Trl Se, Conyers, GA 30094-4538 | 2020-09-16 |
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1316551377 | Holland Consulting Practice LLC | Contractor | 6307 Towne Lake Hts, Woodstock, GA 30189-4245 | 2020-09-07 |
| 1003420571 | Antonio Jones | Contractor | 700 Martin Luther King Jr Dr Sw Apt 206, Atlanta, GA 30314-4143 | 2020-09-02 |
| 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.