MRS. JENNIFER BROOKE GREEN (NP) – Adult Health Nurse Practitioner, NPI 1861623308
Adult Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. JENNIFER BROOKE GREEN (NP)
1109 BURLEYSON DRIVE SUITE 103
DALTON, GA 307203099
Phone: (706) 278-1622
Fax: (706) 272-6445
Type: Mailing
475 REED RD STE 104
DALTON, GA 307206310
Phone: (706) 278-1622
Fax: (706) 272-6445
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 120 Open Payments records for all available years, with a total value of $2,320.
Total Amount is formed as General ($2,320) + Research ($0) + Ownership ($0) = $2,320.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Lilly USA, LLC ($397).
Total Amount
$2,320
General + Research + Ownership
Payments
120
Total payment records
General Amount
$2,320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $397 |
| Tandem Diabetes Care, Inc. | $201 |
| SANOFI-AVENTIS U.S. LLC | $163 |
| Novo Nordisk Inc | $149 |
| Medtronic, Inc. | $137 |
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: 2010-03-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100309000058 | I | Nurse Practitioner | GA | 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 |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 1,014 | 325 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 796 | 309 | $0 |
| 83036 | Hemoglobin a1c level | 655 | 301 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 549 | 192 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 169 | 112 | $0 |
Insurance plans in this area (ZIP 30720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Orthopedic Surgery | TN | |
| Internal Medicine | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Medical Oncology | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA |
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