ANNIE B GREEN FNP-BC
NPI 1881671931
Nurse Practitioner - Family in Hattiesburg, MS

Active since December 29, 2005
66 OLD AIRPORT RD, HATTIESBURG, MS 39401(601) 544-7500(601) 544-7524 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annie B Green Fnp-bc NPPES

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

ANNIE B GREEN FNP-BC (NPI 1881671931) is an individual family provider in Hattiesburg, Mississippi, licensed in Mississippi (R733618) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1881671931
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNIE B GREENCredential: FNP-BC
Location Address66 OLD AIRPORT RDHattiesburg, MS 39401-8382
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-3700 · Fax (601) 450-2493
Fax(601) 544-7524
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateApril 1, 2014
NPI 1881671931 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 MS · R733618
66 OLD AIRPORT RD, Hattiesburg, MS 39401

Other Identifiers 4

Medicare UPINP96375MS
Medicare ID-Type Unspecified500001257MS · Ms Medicareprovidernumber
Other11582005MS · Caqh I D Number
Medicaid00123059MS

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
66 OLD AIRPORT RD
HATTIESBURG, MS 39401
Family Medicine
66 OLD AIRPORT RD
HATTIESBURG, MS 39401
Internal Medicine
66 OLD AIRPORT RD
HATTIESBURG, MS 39401
Family Medicine
66 OLD AIRPORT RD
HATTIESBURG, MS 39401
Social Worker
66 OLD AIRPORT RD
HATTIESBURG, MS 39401
Internal Medicine
66 OLD AIRPORT RD
HATTIESBURG, MS 39401
Nurse Practitioner (Family)
66 OLD AIRPORT RD
HATTIESBURG, MS 39401
Clinic/Center (Federally Qualified Health Center (FQHC))
66 OLD AIRPORT RD
HATTIESBURG, MS 39401

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 Annie Green's NPI number?

The NPI number for Annie Green is 1881671931. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Annie Green located?

Annie Green practices at 66 Old Airport Rd, Hattiesburg, MS 39401. The listed phone number is (601) 544-7500.

What is Annie Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Annie Green was last updated on April 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.