NPI age
15 years
Enumerated 2011-02-19
● Active Type 2 · Organization
Greenline Medical Corporation
Greenline Medical Corporation is 1 of 661 general practice organizations in Georgia.
Primary specialty
General Practice
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Green
Physician
Last NPPES update
2011-02-19
Source: monthly bulk 2026-05
How this organization compares
Across 661 active general practice providers in Georgia.
NPI age
15 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-02Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
804 Bombay Ln
Roswell, GA 300765819
Mailing address
804 Bombay Ln
Roswell, GA 300765819
Authorized official
Kimberly Green, D.O.
Physician
📞 7707549880
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
-
Pain MedicinePain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Eagle Medical Center
Practice context
Single-site organization. Only one practice location on file.
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