Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER LYNN GREEN FNP
NPI 1558088633
Nurse Practitioner in Columbus, GA

Active since October 20, 2022PECOS Enrolled
1900 10TH AVE STE 200, COLUMBUS, GA 31901(706) 653-8556 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 26, 2026, Jun 12, 2024, Oct 20, 2022 (3 updates tracked since 2022).

About Jennifer Lynn Green Fnp NPPES

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

JENNIFER LYNN GREEN FNP (NPI 1558088633) is an individual nurse practitioner in Columbus, Georgia, licensed in Georgia (APRN-NP112501) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1558088633
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER LYNN GREENCredential: FNP
Location Address1900 10TH AVE STE 200Columbus, GA 31901-3605
Mailing Address149 Woodstream DrColumbus, GA 31904-2716 · (706) 326-8079
Sole ProprietorYes
Enumeration DateOctober 20, 2022
Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
NPI 1558088633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in GA · APRN-NP112501 Licensed in GA · RN112501
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1900 10TH AVE STE 200, Columbus, GA 31901

Secondary Practice Location 1

Location 11000 Brookstone Centre PkwyColumbus, GA 31904-4675 · Phone (706) 507-4243 · Fax (706) 507-4743

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Lynn Green Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 31901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 5

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

Nurse Practitioner
1900 10TH AVE STE 200
COLUMBUS, GA 31901
Nurse Practitioner (Family)
1900 10TH AVE STE 200
COLUMBUS, GA 31901
Obstetrics & Gynecology
1900 10TH AVE STE 200
COLUMBUS, GA 31901
Obstetrics & Gynecology
1900 10TH AVE STE 200
COLUMBUS, GA 31901
Obstetrics & Gynecology
1900 10TH AVE STE 200
COLUMBUS, GA 31901

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 Jennifer Green's NPI number?

The NPI number for Jennifer Green is 1558088633. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Jennifer Green located?

Jennifer Green practices at 1900 10th Ave Ste 200, Columbus, GA 31901. The listed phone number is (706) 653-8556.

What is Jennifer Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Green was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.