Greenline Medical Corporation
NPI 1073810453ActiveOrganization· General Practice· Roswell, GA
General Practice in Roswell, Georgia, registered in NPPES in February 2011. The authorized official on file is Kimberly Green, D.O., Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073810453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2011 |
| Last updated in NPPES | Feb 19, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 058478 | GA |
| Pain Medicine, Pain Medicine | 208VP0000X | 058478 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other General Practice providers in Roswell
- 1861803371
- 1548551344
- 1275903296
- 1891091856
- 1396417275
- 1932112703
- 1710226873