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AMBER GREEN SLP
NPI 1063102382
Speech-Language Pathologist in Ridgeland, MS

Active since May 10, 2023
115 W JACKSON ST STE 1D, RIDGELAND, MS 39157(601) 853-9747 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2025, May 10, 2023 (2 updates tracked since 2023).

About Amber Green Slp NPPES

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

AMBER GREEN SLP (NPI 1063102382) is an individual speech-language pathologist provider in Ridgeland, Mississippi, licensed in Mississippi (S-5068) and active in the NPI registry since May 2023. She maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1063102382
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAMBER GREENCredential: SLP
Location Address115 W JACKSON ST STE 1DRidgeland, MS 39157-2428
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 238-7217
Phone(601) 853-9747
Sole ProprietorNo
Enumeration DateMay 10, 2023
Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1063102382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MS · S-5068
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
115 W JACKSON ST STE 1D, Ridgeland, MS 39157
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Secondary Practice Location 1

Location 1115 Aulenbrock DrCanton, MS 39046-7061 · Phone (601) 521-4934

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber Green Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

Medicare enrollment records show Amber Green reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drayer Physical Therapy Mississippi LLC
78 mi
Physical Therapist
110 N WALMART DR, SUITE F
Louisville, MS 39339
  • Reassigned Medicare billing, Mississippi enrollment
  • 324 clinicians in this Medicare group
NPI 1952732448 (662) 779-1096
Dpti Elite Physical Therapy LLC
159 mi
Physical Therapist
2319 HWY 145
Saltillo, MS 38866
  • Reassigned Medicare billing, Mississippi enrollment
  • 230 clinicians in this Medicare group
NPI 1386010718 (662) 869-9980
Benchmark Physical Therapy Of Mississippi LLC
161 mi
Physical Therapist
4010 BIENVILLE BLVD UNIT 8
Ocean Springs, MS 39564
  • Reassigned Medicare billing, Mississippi enrollment
  • 127 clinicians in this Medicare group
NPI 1811547680 (423) 238-8923
Agilitas Usa Inc
338 mi
Physical Therapy
2177 NORTHPOINT BLVD STE 101
Hixson, TN 37343
  • Reassigned Medicare billing, Mississippi enrollment
  • 132 clinicians in this Medicare group
NPI 1962417444 (423) 870-1289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

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

KAYLAN ELLIOTT SLP
Speech-Language Pathologist
115 W JACKSON ST STE 1D
RIDGELAND, MS 39157
Madison County (601) 853-9747
LAURA ASHLEY OTR/L
Occupational Therapist
115 W JACKSON ST STE 1D
RIDGELAND, MS 39157
Madison County (601) 853-9747
DIXIE STAR TYER OT
Occupational Therapist
115 W JACKSON ST STE 1D
RIDGELAND, MS 39157
Madison County (601) 853-9747
JULIE MICHELLE SACHMAN SLP
Speech-Language Pathologist
115 W JACKSON ST STE 1D
RIDGELAND, MS 39157
Madison County (601) 853-9747
HANNAH GRACE ALLRED
Occupational Therapist
115 W JACKSON ST STE 1D
RIDGELAND, MS 39157
Madison County (601) 853-9747
MARY KATHRYN SIMMONS COOK
Occupational Therapist
115 W JACKSON ST STE 1D
RIDGELAND, MS 39157
Madison County (601) 853-9747
ALLYSON GUNTER
Occupational Therapist
115 W JACKSON ST STE 1D
RIDGELAND, MS 39157
Madison County (601) 853-9747
KAYLA W BOYER OT
Occupational Therapist
115 W JACKSON ST STE 1D
RIDGELAND, MS 39157
Madison County (601) 853-9747

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 Amber Green's NPI number?

The NPI number for Amber Green is 1063102382. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Amber Green located?

Amber Green practices at 115 W Jackson St Ste 1D, Ridgeland, MS 39157. The listed phone number is (601) 853-9747.

What is Amber Green's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Amber Green enrolled in Medicare?

Yes. Amber Green is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amber Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Green reassigns Medicare benefits to 4 organizations: Drayer Physical Therapy Mississippi LLC (Louisville, MS), Dpti Elite Physical Therapy LLC (Saltillo, MS), Benchmark Physical Therapy Of Mississippi LLC (Ocean Springs, MS) and Agilitas Usa Inc (Hixson, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amber Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amber Green was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.