Greenline Medical Corporation in Roswell, GA

Greenline Medical Corporation is a medicare enrolled primary clinic (General Practice) in Roswell, Georgia. The current practice location for Greenline Medical Corporation is 804 Bombay Ln, Roswell, Georgia. For appointments, you can reach them via phone at (770) 754-9880. The mailing address for Greenline Medical Corporation is 804 Bombay Ln, Roswell, Georgia and phone number is () -.

Greenline Medical Corporation is licensed to practice in Georgia (license number 058478). The clinic also participates in the medicare program and its NPI number is 1073810453. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (770) 754-9880.

Contact Information

	Greenline Medical Corporation
	804 Bombay Ln Roswell GA 30076-5819
	(770) 754-9880
	(770) 754-9881

Map and Direction

Primary Care Clinic Profile

Full Name	Greenline Medical Corporation
Speciality	General Practice
Location	804 Bombay Ln, Roswell, Georgia
Authorized Official Name and Position	Kimberly Green (PHYSICIAN)
Authorized Official Contact	7707549880
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Greenline Medical Corporation 804 Bombay Ln Roswell GA 30076-5819 Ph: () -	Greenline Medical Corporation 804 Bombay Ln Roswell GA 30076-5819 Ph: (770) 754-9880

NPI Details:

NPI Number	1073810453
Provider Enumeration Date	02/19/2011
Last Update Date	02/19/2011

Medicare PECOS Information:

Medicare PECOS PAC ID	6507047636
Medicare Enrollment ID	O20110223000389

Medical Identifiers

Medical identifiers for Greenline Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073810453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	058478 (Georgia)	Primary
208VP0000X	Pain Medicine - Pain Medicine	058478 (Georgia)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Greenline Medical Corporation acts as a billing entity for following providers:

Provider Name	Kimberly J Green
Provider Type	Practitioner - General Practice
Provider Identifiers	NPI Number: 1720174873 PECOS PAC ID: 7719987296 Enrollment ID: I20070106000109

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Greenline Medical Corporation - Medicare Primary Care in Roswell, GA