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NPI Code Detail

MEDICARE: D'ANDREA GREEN

MEDICARE: D'ANDREA GREEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1528919131
Entity Type Code : Individual
Provider Name (Legal Business Name) : D'ANDREA GREEN
Provider Business Mailing Address
First Line : 2100 COMER AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8725
Country : US
Telephone Number : 706-569-5500
Fax Number :
Provider Business Practice Location Address
First Line : 919 LAWYERS LN
Second Line :
City : COLUMBUS
State : GA
Zip : 31906-3129
Country : US
Telephone Number : 706-256-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ D'ANDREA GREEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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