Courtney Lee Green, FNP-C | |
541 441 Historic Hwy N, Demorest, GA 30535-4528 | |
(770) 219-8720 | |
Not Available |
Full Name | Courtney Lee Green |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 541 441 Historic Hwy N, Demorest, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801454749 | NPI | - | NPPES |
003122026D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN257515 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN257515 (Georgia) | Primary |
Entity Name | Northeast Georgia Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
Entity Name | Myfamilydoc, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346580982 PECOS PAC ID: 6608021969 Enrollment ID: O20130313000140 |
Mailing Address | Practice Location Address |
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Courtney Lee Green, FNP-C Po Box 742616, Atlanta, GA 30374-2616 Ph: () - | Courtney Lee Green, FNP-C 541 441 Historic Hwy N, Demorest, GA 30535-4528 Ph: (770) 219-8720 |
Shelby Lee Pritchett, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Austin Dr, Demorest, GA 30535 Phone: 706-949-0174 | |
Taylor James Harkness, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 790 Old Historic U.s. 441, Demorest, GA 30535 Phone: 706-839-1001 Fax: 706-839-1220 | |
Sarah Jeanette Parker, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 396 Historic Hwy 441 N, Demorest, GA 30535 Phone: 706-754-4348 | |
Tammy Danielle Farmer, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Austin Dr, Demorest, GA 30535 Phone: 706-754-3287 Fax: 705-754-3518 | |
Pamela Roland, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 Historic Hwy 441-n, Demorest, GA 30535 Phone: 770-533-6521 Fax: 770-535-7445 | |
Anny Sosebee, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 396 Historic Hwy 441 N, Demorest, GA 30535 Phone: 706-754-4348 | |
Christa Dawn Smith, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 396 Historic Highway 441 N, Demorest, GA 30535 Phone: 706-754-4348 Fax: 706-754-0731 |