MS. CATHERINE LARSEN GREEN (PA) – Physician Assistant, NPI 1285123919

MS. CATHERINE LARSEN GREEN (PA) is a healthcare provider. based in Canton, Georgia. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 8766 (GA). The NPI Number for MS. CATHERINE LARSEN GREEN (PA) is 1285123919

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MS. CATHERINE LARSEN GREEN (PA)
NPI
1285123919
Phone
(770) 720-7733
Address
227 RIVERSTONE DR STE D
Enumeration Date
8 May 2018
Last Update Date
17 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062433051
Graduation Year
2018 (8 years ago)
PAC ID
0547510794
Group Practice PAC ID
2567765662
Professional Enrollment ID
I20180910000141
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for MS. CATHERINE LARSEN GREEN (PA)

  • 227 RIVERSTONE DR STE D

    CANTON, GA 301145256

    Phone: (770) 720-7733

    Type: Mailing

  • 3465, Macon Road, Highland Park, Columbus, Muscogee County, Georgia, 31907, United States

    STE D

    COLUMBUS, GA 319072582

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $331.

Total Amount is formed as General ($331) + Research ($0) + Ownership ($0) = $331.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($92).

Total Amount

$331

General + Research + Ownership

Payments

18

Total payment records

General Amount

$331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20180910000141IPhysician AssistantGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30114)

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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: 2567765662View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. CATHERINE LARSEN GREEN (PA)?
MS. CATHERINE LARSEN GREEN (PA) — NPI 1285123919 — is the standard way to identify this listing.
Is MS. CATHERINE LARSEN GREEN (PA) listed as active for patients and plans?
The listing shows MS. CATHERINE LARSEN GREEN (PA) as active in the NPI system.
What is MS. CATHERINE LARSEN GREEN (PA)'s primary classification?
Physician Assistant is the headline specialty for MS. CATHERINE LARSEN GREEN (PA) here. Clinical services aligned with this taxonomy classification.
What area does MS. CATHERINE LARSEN GREEN (PA) serve?
MS. CATHERINE LARSEN GREEN (PA)'s listing highlights Canton, Georgia; more addresses can appear in NPPES.
Why does MS. CATHERINE LARSEN GREEN (PA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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