NPI age
16 years
Enumerated 2009-07-31
● Active
Type 1 · Individual
MRS. Jennifer Brooke Green, NP
Green is 1 of 4 nurse practitioner providers in Dalton and 1 of 806 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-11-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 806 active nurse practitioner providers in Georgia.
NPI age
16 years
↑ 5 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-07Enumerated in NPPES
2009
2026
Where they practice
Practice location
475 Reed Rd Ste 104
Dalton, GA 307206310
Mailing address
475 Reed Rd Ste 104
Dalton, GA 307206310
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003134778A | |
| 01 (GA) | 01881320 | AMERIGROUP |
| 01 (GA) | P01156288 | RR MEDICARE |
| 01 (GA) | 804217 | WELLCARE |
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.