DR. KIMBERLY J GREEN D.O
NPI 1720174873
General Practice in Alpharetta, GA

Q: What is Kimberly Green's NPI number?

The NPI number for Kimberly Green is 1720174873. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Kimberly Green's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Green was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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 05, 2006PECOS Enrolled

1090 CAMBRIDGE SQ, SUITE A, ALPHARETTA, GA 30009(770) 754-9880(770) 754-9881 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kimberly J Green D.o NPPES

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

DR. KIMBERLY J GREEN D.O (NPI 1720174873) is an individual general practice provider in Alpharetta, Georgia, licensed in Georgia (58478) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1720174873

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. KIMBERLY J GREENCredential: D.O

Location Address1090 CAMBRIDGE SQ, SUITE AAlpharetta, GA 30009-1875

Mailing Address1090 Cambridge Sq, Suite AAlpharetta, GA 30009-1875 · (770) 754-9880 · Fax (770) 754-9881

Phone(770) 754-9880

Fax(770) 754-9881

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2000

Enumeration DateOctober 5, 2006

Last NPPES UpdateJuly 26, 2013

✔ NPI 1720174873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in GA · 58478✔ Licensed in IN · 2002456A

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1090 CAMBRIDGE SQ, Alpharetta, GA 30009

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Other Identifiers 1

Medicare PIN01BCHWHGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly J Green D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719987296

PECOS Enrollment IDI20070106000109

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

324 services32 patients

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 Kimberly Green's NPI number?

The NPI number for Kimberly Green is 1720174873. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Kimberly Green located?

Kimberly Green practices at 1090 Cambridge Sq Suite A, Alpharetta, GA 30009. The listed phone number is (770) 754-9880.

What is Kimberly Green's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kimberly Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Green was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.