LILLIE RUTH GREEN
NPI 1205435641
Nurse Practitioner - Psychiatric/Mental Health in Quincy, FL

Q: What is Lillie Green's NPI number?

The NPI number for Lillie Green is 1205435641. It was assigned to this individual provider in the NPPES registry on October 17, 2020.

Q: What is Lillie Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lillie Green was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 17, 2020PECOS Enrolled

278 LASALLE LEFALL DR, QUINCY, FL 32351(229) 726-3984 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2026, Nov 30, 2022, Oct 17, 2020 (3 updates tracked since 2020).

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About Lillie Ruth Green NPPES

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

LILLIE RUTH GREEN (NPI 1205435641) is an individual psychiatric/mental health provider in Quincy, Florida, licensed in Georgia (GAA-NP004941) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205435641

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLILLIE RUTH GREEN

Location Address278 LASALLE LEFALL DRQuincy, FL 32351-5324

Mailing Address1317 Blossom CirTallahassee, FL 32305-6707 · (229) 726-3984

Phone(229) 726-3984

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 17, 2020

Last NPPES UpdateJune 15, 20263 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1205435641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · GAA-NP004941

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11007976 (FL)

278 LASALLE LEFALL DR, Quincy, FL 32351

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Other Identifiers 1

Medicaid116000800FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7618244583

PECOS Enrollment IDI20260517000003

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32351 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

FLORIDA DEPARTMENT OF HEALTH

Community Health Worker