| Ms Marla C Green, FNP-C | |
|
7823 Spivey Station Blvd # 360, Jonesboro, GA 30236-2886 | |
| (770) 741-1751 | |
| (770) 741-1755 |
| Full Name | Ms Marla C Green |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 7823 Spivey Station Blvd # 360, Jonesboro, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639580780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN196523 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 317 |
| Metro Infectious Disease Consultants Llc | 3072425784 | 386 |
| Entity Name | Metro Infectious Disease Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20170829003039 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20230105001168 |
| Entity Name | Complexcare Medical Group Midwest M PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528851607 PECOS PAC ID: 1355858630 Enrollment ID: O20250731000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Marla C Green, FNP-C 477 Windsor St Sw Ste 309, Atlanta, GA 30312-2530 Ph: (404) 688-9202 | Ms Marla C Green, FNP-C 7823 Spivey Station Blvd # 360, Jonesboro, GA 30236-2886 Ph: (770) 741-1751 |
Mrs. April D Joseph, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-478-9240 |
Victoria Kelly Awuku, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1549 Iris Walk, Jonesboro, GA 30238 Phone: 470-209-3434 |
Phyllis A Kennedy-howell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 239 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 229-249-8687 Fax: 229-775-2223 |
Mrs. Mercy B Manga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 770-962-2400 |
Ms. Barbara R. Clark, APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 962 Forest Gln, Jonesboro, GA 30238 Phone: 770-231-8568 Fax: 678-489-2348 |
Ms. Cristyle Lynn Morrison, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8773 Channing Dr, Jonesboro, GA 30238 Phone: 678-262-7190 |
Myrna Gacusan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6911 Tara Blvd, Jonesboro, GA 30236 Phone: 770-477-8573 Fax: 770-477-8573 |