Ms Kelly A Greene, FNP | |
638 Old Historic Us 441, Suite B, Demorest, GA 30535 | |
(770) 501-3830 | |
Not Available |
Full Name | Ms Kelly A Greene |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 638 Old Historic Us 441, 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 |
---|---|---|---|
1831968437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | GAA-NP001940 (Georgia) | Primary |
Entity Name | Georgia Heart Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477976520 PECOS PAC ID: 4183848062 Enrollment ID: O20140616001425 |
Mailing Address | Practice Location Address |
---|---|
Ms Kelly A Greene, FNP Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Ms Kelly A Greene, FNP 638 Old Historic Us 441, Suite B, Demorest, GA 30535 Ph: (770) 501-3830 |
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 |