KERRION GREEN
NPI 1043010002
Nurse Practitioner - Family in Indian Land, SC

Active since March 18, 2025
1040 EDGEWATER CORPORATE PKWY STE 101, INDIAN LAND, SC 29707(803) 548-7007 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kerrion Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRION GREEN (NPI 1043010002) is an individual family provider in Indian Land, South Carolina, licensed in South Carolina (30014) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1043010002
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKERRION GREEN
Location Address1040 EDGEWATER CORPORATE PKWY STE 101Indian Land, SC 29707-4526
Mailing Address1040 Edgewater Corporate Pkwy Ste 101Indian Land, SC 29707-4526 · (803) 548-7007
Sole ProprietorNo
Enumeration DateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
NPI 1043010002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 30014
1040 EDGEWATER CORPORATE PKWY STE 101, Indian Land, SC 29707

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1040 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707
Nurse Practitioner
1040 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707
Pharmacist (Ambulatory Care)
1040 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707
Nurse Practitioner (Family)
1040 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707
Marriage & Family Therapist
1040 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerrion Green's NPI number?

The NPI number for Kerrion Green is 1043010002. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Kerrion Green located?

Kerrion Green practices at 1040 Edgewater Corporate Pkwy Ste 101, Indian Land, SC 29707. The listed phone number is (803) 548-7007.

What is Kerrion Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kerrion Green was last updated on March 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.