P Praxis·MD
● Active Type 1 · Individual

MS. Kimberly Dainelle Green

Contractor·MacOn, GA· NPI 1891083887 · Enumerated 2011 · 14 years on NPI
Green is 1 of 8 contractor providers in MacOn and 1 of 751 in Georgia.
NPI age
14 years
Enumerated 2011-07-12
Primary specialty
Contractor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-07-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 751 active contractor providers in Georgia.

NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Practice location
761 Poplar St, Suite # 2 I
MacOn, GA 312012082
📞 4784611955fax 4787452054
Mailing address
761 Poplar St, Suite # 2 I
MacOn, GA 312012082
📞 4784611955fax 4787452054

Specialties

  • Contractor Primary
    For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects...
    GA license #011-R-0210 taxonomy 171W00000X

Practice context

Part of a multi-provider practice. 2 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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