P Praxis·MD
● Active Type 1 · Individual

MRS. Jennifer Brooke Green, NP

Nurse Practitioner·Dalton, GA· NPI 1861623308 · Enumerated 2009 · 16 years on NPI
Green is 1 of 4 nurse practitioner providers in Dalton and 1 of 806 in Georgia.
NPI age
16 years
Enumerated 2009-07-31
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
📞 7062781622fax 7062726445
Mailing address
475 Reed Rd Ste 104
Dalton, GA 307206310
📞 7062781622fax 7062726445

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #APRN-NP115738 taxonomy 363LA2200X

Identifiers

TypeValueNotes
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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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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