P Praxis·MD
● Active Type 1 · Individual

Susan A Greene, APRN-BC

Nurse Practitioner·Roswell, GA· NPI 1982631040 · Enumerated 2006 · 19 years on NPI
Greene is 1 of 3 nurse practitioner providers in Roswell and 1 of 280 in Georgia.
NPI age
19 years
Enumerated 2006-06-26
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 280 active nurse practitioner providers in Georgia.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
901 Bombay Ln
Roswell, GA 300765829
📞 7706641920fax 8883889622
Mailing address
1351 Old Mobile Rd
Mc Caysville, GA 305551950
📞 7064925274

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
3205 Randall Pkwy Ste 105
Wilmington, NC 284032565
📞 9107429243fax 8887461787
Location 3
1345 Redmond Cir Nw
Rome, GA 301651307
📞 9107429243fax 8887461787

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #100566NC license #5023924 taxonomy 363LG0600X

Identifiers

TypeValueNotes
05 (GA) 054554063A
01 (GA) 83-02313 EVERCARE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 6 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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