GREEN COUNTRY FAMILY CLINIC LLC
NPI 1972544807
Nurse Practitioner - Family in Tulsa, OK

Active since June 10, 2006
1312 S GARNETT RD, STE E, TULSA, OK 74128(918) 437-2500(918) 437-2535 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Green Country Family Clinic Llc NPPES

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

GREEN COUNTRY FAMILY CLINIC LLC (NPI 1972544807) is a healthcare organization registered as a family in Tulsa, Oklahoma and active in the NPI registry since June 2006. The organization lists Gus D Canaday, President/owner, as its authorized official.

NPPES Registry Identity

NPI1972544807
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGREEN COUNTRY FAMILY CLINIC LLC
Location Address1312 S GARNETT RD, STE ETulsa, OK 74128-1835
Mailing Address1312 S Garnett Rd, Ste. ETulsa, OK 74128-1835 · (918) 437-2500 · Fax (918) 437-2535
Fax(918) 437-2535
Organization SubpartNo
Authorized OfficialGus D CanadayPresident/owner · (918) 437-2500
Enumeration DateJune 10, 2006
Last NPPES UpdateJune 15, 2010
NPI 1972544807 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 OK · R0067546
1312 S GARNETT RD, Tulsa, OK 74128

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Home Health
1312 S GARNETT RD, SUITE A & B
TULSA, OK 74128
Nurse Practitioner (Family)
1312 S GARNETT RD, SUITE E
TULSA, OK 74128
Home Health
1312 S GARNETT RD, SUITE A
TULSA, OK 74128
Clinic/Center (Primary Care)
1312 S GARNETT RD
TULSA, OK 74128

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 Green Country Family Clinic LLC's NPI number?

The NPI number for Green Country Family Clinic LLC is 1972544807. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Green Country Family Clinic LLC located?

Green Country Family Clinic LLC is located at 1312 S Garnett Rd Ste E, Tulsa, OK 74128. The listed phone number is (918) 437-2500.

What is Green Country Family Clinic LLC'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 Green Country Family Clinic LLC was last updated on June 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.