PATIENCE CHANTEL GREEN (MD) – Trauma Surgery Physician, NPI 1194142208

PATIENCE CHANTEL GREEN (MD) is a healthcare provider. based in Marietta, Georgia. specializing in CRITICAL CARE (INTENSIVISTS), GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 105497 (GA). The NPI Number for PATIENCE CHANTEL GREEN (MD) is 1194142208

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
PATIENCE CHANTEL GREEN (MD)
NPI
1194142208
Phone
(770) 428-0462
Address
55 WHITCHER ST NE STE 130
Enumeration Date
26 March 2014
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
7704248222
Graduation Year
2014 (12 years ago)
PAC ID
1456640507
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20250918003771
Address ID
GA301527742KE5150XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:12State licenses:2Digital endpointsOther names

957 CRITICAL CARE (INTENSIVISTS) in IL

Provider Addresses for PATIENCE CHANTEL GREEN (MD)

  • 55 WHITCHER ST NE STE 130

    MARIETTA, GA 300601156

    Phone: (770) 428-0462

    Type: Mailing

  • 180 HARVESTER DR STE 110

    BURR RIDGE, IL 605276686

    Phone: (773) 702-1150

    Type: Mailing

  • 5841 S MARYLAND AVE # MC5033

    CHICAGO, IL 606371443

    Phone: (773) 834-2320

    Type: Location

  • 3500 N BROAD ST # 1A

    PHILADELPHIA, PA 191404106

    Phone: (215) 707-2433

    Type: Mailing

  • 3401 N BROAD ST

    PHILADELPHIA, PA 191405103

    Phone: (215) 707-3133

    Fax: (215) 707-2915

    Type: Location

  • 2041 GEORGIA AVE NW

    WASHINGTON, DC 200600001

    Phone:

    Type: Mailing

  • 3401 N Broad St

    Philadelphia, PA 191405103

    Phone: (215) 707-3133

    Fax: (215) 707-2915

    Type: Location

  • 5841 S Maryland Ave # Mc5033

    Chicago, IL 606371443

    Phone: (773) 834-2320

    Type: Location

  • 2041 Georgia Ave NW

    Washington, DC 200600001

    Phone: (202) 865-6100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231128001679IGeneral SurgeryPATBD
I20250918003771IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm PATIENCE CHANTEL GREEN (MD)'s NPI?
Yes. PATIENCE CHANTEL GREEN (MD) is listed with NPI 1194142208 in the public NPI dataset.
Does CMS list PATIENCE CHANTEL GREEN (MD) as active?
Yes — PATIENCE CHANTEL GREEN (MD) is active in the NPI listing used on this page.
What is PATIENCE CHANTEL GREEN (MD) best known for clinically?
Directory data describes PATIENCE CHANTEL GREEN (MD) with Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is PATIENCE CHANTEL GREEN (MD) based?
PATIENCE CHANTEL GREEN (MD) is tied to Marietta, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
11 practice locations appear in the available data.

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