P Praxis·MD
● Active Type 1 · Individual

Tammy Green, CPNP

Nurse Practitioner·Locust Grove, GA· NPI 1609234129 · Enumerated 2016 · 10 years on NPI
Green is 1 of 7 nurse practitioner providers in Locust Grove and 1 of 3206 in Georgia.
NPI age
10 years
Enumerated 2016-01-29
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-02-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
10 years
↑ 2 yr above median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-01Enumerated in NPPES
2016 2026

Where they practice

Practice location
5040 Bill Gardner Pkwy, Suite 100
Locust Grove, GA 302483757
📞 6785835437fax 6785835484
Mailing address
1002 Summerlake Way
McDonough, GA 302537424
📞 4046697949fax 6785835484

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN199156 taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    GA license #RN199156 taxonomy 363LP0200X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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