JENNIFER S GREEN (PA-C) – Medical Physician Assistant, NPI 1588658363
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for JENNIFER S GREEN (PA-C)
4425, Paulsen Street, Ardsley Park-Chatham Crescent Historic District, Savannah, Chatham County, Georgia, 31405, United States
SAVANNAH, GA 314053637
Phone: (912) 355-6615
Fax: (912) 354-5970
Type: Mailing
3443 Dickerson Pike Ste 230
Nashville, TN 372072522
Phone: (912) 421-3747
Type: Location
5507 ABERCORN ST STE 103
SAVANNAH, GA 314056912
Phone: (912) 421-3747
Type: Mailing
6510 SEAWRIGHT DR
SAVANNAH, GA 314062752
Phone: (124) 213-7479
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Boston Scientific Corporation ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $18 |
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: 2025-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050923000454 | I | Physician Assistant | GA | TBD |
| I20230919003907 | I | Physician Assistant | TN | TBD |
| I20231005000616 | I | Physician Assistant | AL | TBD |
| I20241025002099 | I | Physician Assistant | IA | TBD |
| I20250221003221 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 31405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | GA | 73562 | X-ray of knee, 3 views | 16 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Nurse Practitioner | MS | |
| Physical Medicine And Rehabilitation | KS | |
| Physical Medicine And Rehabilitation | TN | |
| Internal Medicine | GA | |
| Internal Medicine | GA |
Reviews
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