TANAYSA GREEN FNP
NPI 1831719269
Nurse Practitioner - Family in Augusta, GA

Active since April 27, 2020PECOS Enrolled
1702 HOLLY HILL RD, AUGUSTA, GA 30904(706) 373-2908 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tanaysa Green Fnp NPPES

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

TANAYSA GREEN FNP (NPI 1831719269) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN211924) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831719269
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTANAYSA GREENCredential: FNP
Location Address1702 HOLLY HILL RDAugusta, GA 30904-5050
Mailing Address1702 Holly Hill RdAugusta, GA 30904-5050 · (706) 373-2908
Sole ProprietorNo
Enumeration DateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1831719269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN211924
1702 HOLLY HILL RD, Augusta, GA 30904

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)

Tanaysa 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.

Medicare Billing Reassignment

Medicare enrollment records show Tanaysa Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 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 30904 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.

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 Tanaysa Green's NPI number?

The NPI number for Tanaysa Green is 1831719269. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Where is Tanaysa Green located?

Tanaysa Green practices at 1702 Holly Hill Rd, Augusta, GA 30904. The listed phone number is (706) 373-2908.

What is Tanaysa Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tanaysa Green enrolled in Medicare?

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

Which organization bills Medicare for Tanaysa Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanaysa Green reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Tanaysa Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanaysa Green accept?

Health plans from CareSource (Common Ground Healthcare) list Tanaysa 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 Tanaysa Green was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.