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JEANNE GREEN PT
NPI 1922168707
Physical Therapist - Pediatrics in Lagrange, GA

Active since December 11, 2006
503 RIVER CLUB DRIVE, LAGRANGE, GA 30240(404) 861-0031 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 15, 2026, Jan 9, 2026, Sep 11, 2025 (3 updates tracked since 2025).

About Jeanne Green Pt NPPES

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

JEANNE GREEN PT (NPI 1922168707) is an individual pediatrics provider in Lagrange, Georgia, licensed in Georgia (3516) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1922168707
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameJEANNE GREENCredential: PT
Location Address503 RIVER CLUB DRIVELagrange, GA 30240-7792
Mailing Address503 River Club DrLagrange, GA 30240-7792 · (404) 861-0031
Phone(404) 861-0031
Sole ProprietorYes
Enumeration DateDecember 11, 2006
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1922168707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in GA · 3516
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical TherapistTaxonomy 225100000X · License 3516 (GA)
503 RIVER CLUB DRIVE, Lagrange, GA 30240
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Other Identifiers 4

Medicaid000595944EGA
Other3516GA · Georgia Pt License
Other10040357GA · Amerigroup Number
Other321854GA · Wellcare Number

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 Jeanne Green's NPI number?

The NPI number for Jeanne Green is 1922168707. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Jeanne Green located?

Jeanne Green practices at 503 River Club Drive, Lagrange, GA 30240. The listed phone number is (404) 861-0031.

What is Jeanne Green's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Jeanne Green was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.