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

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: October 18, 2026.

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

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
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

Other Identifiers 1

Medicaid116000800FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

4

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

Multi-Specialty
680 MAPLE ST
Chattahoochee, FL 32324
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
Internal Medicine
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 30 clinicians in this Medicare group
Internal Medicine
6209 NW 18TH AVE
Miami, FL 33147
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Georgia enrollment
  • 31 clinicians in this Medicare group

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

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.

Community Health Worker
278 LASALLE LEFALL DR
QUINCY, FL 32351
Licensed Vocational Nurse
278 LASALLE LEFALL DR
QUINCY, FL 32351
Registered Nurse (Community Health)
278 LASALLE LEFALL DR
QUINCY, FL 32351
Registered Nurse (Community Health)
278 LASALLE LEFALL DR
QUINCY, FL 32351
Registered Nurse (Community Health)
278 LASALLE LEFALL DR
QUINCY, FL 32351
Licensed Practical Nurse
278 LASALLE LEFALL DR
QUINCY, FL 32351
Dentist
278 LASALLE LEFALL DR
QUINCY, FL 32351
Registered Nurse (Community Health)
278 LASALLE LEFALL DR
QUINCY, FL 32351

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 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.

Where is Lillie Green located?

Lillie Green practices at 278 Lasalle Lefall Dr, Quincy, FL 32351. The listed phone number is (229) 726-3984.

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.

Is Lillie Green enrolled in Medicare?

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

Which organizations bill Medicare for Lillie Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lillie Green reassigns Medicare benefits to 4 organizations: North Florida Rural Health Corp (Chattahoochee, FL), Inpatient Consultants Of Georgia, Inc (Macon, GA), Doctor United Group Inc (Miami, FL) and Cs Pacs 3 Southeast, LLC (Bluefield, WV). 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 Lillie Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lillie Green accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Lillie Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 4 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.