| Susan A Greene, APRN-BC | |
|
901 Bombay Ln, Roswell, GA 30076-5829 | |
| (770) 664-1920 | |
| (888) 388-9622 |
| Full Name | Susan A Greene |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 30 Years |
| Location | 901 Bombay Ln, Roswell, 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 |
|---|---|---|---|
| 1982631040 | NPI | - | NPPES |
| 054554063A | Medicaid | GA | |
| 83-02313 | Other | GA | EVERCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 100566 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifesource Of North Carolina | 7416132428 | 163 |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan A Greene, APRN-BC 1351 Old Mobile Rd, Mc Caysville, GA 30555-1950 Ph: (706) 492-5274 | Susan A Greene, APRN-BC 901 Bombay Ln, Roswell, GA 30076-5829 Ph: (770) 664-1920 |
Taylor Marie Battaglia, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 Upper Hembree Rd Ste D, Roswell, GA 30076 Phone: 770-670-6170 | |
Ms. Barbara L Norvell, C.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11660 Alpharetta Hwy, Suite 430, Roswell, GA 30076 Phone: 770-255-1069 | |
Corie Johnson Grabowski, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11835 Alpharetta Hwy Ste 101, Roswell, GA 30076 Phone: 704-757-5507 | |
Chinwenwa Onwubiko, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Colonial Center Pkwy, Roswell, GA 30076 Phone: 404-693-5565 Fax: 920-212-2048 | |
Kendaly Meadows, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Bombay Ln, Roswell, GA 30076 Phone: 770-664-1920 | |
Mary Rose Paris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 Hospital Blvd, Anesthesia Department, Roswell, GA 30076 Phone: 770-751-2623 Fax: 770-751-2627 | |
Eileen Borkovich, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Holcomb Bridge Rd Ste 129, Roswell, GA 30076 Phone: 678-325-2250 Fax: 678-325-2261 |