CHANEL M GREEN
NPI 1922776087
Social Worker - Clinical in Atlanta, GA
About Chanel M Green NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANEL M GREEN (NPI 1922776087) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (CSW008390) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Chanel M Green is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Chanel Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 92 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30331 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Chanel Green's NPI number?
The NPI number for Chanel Green is 1922776087. It was assigned to this individual provider in the NPPES registry on September 2, 2021.
Where is Chanel Green located?
Chanel Green practices at 3117 Benninger Trce SW, Atlanta, GA 30331. The listed phone number is (678) 938-7590.
What is Chanel Green's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Chanel Green enrolled in Medicare?
Yes. Chanel Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Chanel Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chanel Green reassigns Medicare benefits to Lifesource Of North Carolina (Rome, GA). 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 Chanel Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chanel Green was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Chanel M Green · NPI 1922776087
Clinical provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since September 2, 2021.
## Identity
- **NPI:** 1922776087 (Entity type: Individual)
- **Enumerated:** September 2, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CSW008390 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3117 BENNINGER TRCE SW, Atlanta, GA 30331-6266
- **Phone:** (678) 938-7590
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lifesource Of North Carolina (NPI 1962940817, Rome, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1922776087) · Data from the CMS NPPES public registry.