MALOMA A GREENE (FNP-C) – Family Nurse Practitioner, NPI 1598107500

MALOMA A GREENE (FNP-C) is a healthcare provider. based in Ellenwood, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN171320 (GA). The NPI Number for MALOMA A GREENE (FNP-C) is 1598107500

Main info

Female
13 Years Of Experience
Name
MALOMA A GREENE (FNP-C)
NPI
1598107500
Phone
(404) 510-7964
Address
4769 MAYER TRCE
Enumeration Date
19 July 2013
Last Update Date
20 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709549631
Graduation Year
2013 (13 years ago)
PAC ID
1850526807
Group Practice PAC ID
2567379498
Professional Enrollment ID
I20131028001514
Address ID
GA302533720MC234XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MALOMA A GREENE (FNP-C)

  • 4769 MAYER TRCE

    ELLENWOOD, GA 302946572

    Phone: (404) 510-7964

    Type: Mailing

  • 80 JESSE HILL JR DR SE

    ATLANTA, GA 303033031

    Phone: (404) 616-4307

    Type: Location

  • 3333 RIVERWOOD PKWY SE STE 250

    ATLANTA, GA 303393304

    Phone: (770) 914-0116

    Type: Mailing

  • 50 KELLY RD

    MCDONOUGH, GA 302536097

    Phone: (770) 914-0116

    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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-01-11 • Largest payer in this snapshot: Baxter Healthcare ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$23
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: 2013-10-28

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
I20131028001514INurse PractitionerGATBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg12014$0
J1885Injection, ketorolac tromethamine, per 15 mg6013$0
36415Insertion of needle into vein for collection of blood sample5752$0
99214Established patient office or other outpatient visit, 30-39 minutes5146$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4847$0
View full utilization report →

Insurance plans in this area (ZIP 30294)

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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: 2567379498View full group profile
NameSpecialtyState
N E U R O S U R G E R YGA
Physician AssistantGA
Physician AssistantGA
Family PracticeGA
Orthopedic SurgeryGA
Orthopedic SurgeryGA
Nurse PractitionerGA
Nurse PractitionerGA
N E U R O S U R G E R YGA
Orthopedic SurgeryGA

Reviews

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Frequently asked questions

What is MALOMA A GREENE (FNP-C)'s NPI number?
MALOMA A GREENE (FNP-C)'s NPI is 1598107500 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MALOMA A GREENE (FNP-C)?
You should see MALOMA A GREENE (FNP-C) as active in CMS-hosted NPPES data.
What kind of doctor is MALOMA A GREENE (FNP-C)?
MALOMA A GREENE (FNP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is MALOMA A GREENE (FNP-C) registered?
Use Ellenwood, Georgia as the headline location for MALOMA A GREENE (FNP-C) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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