Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891083887 Individual Practitioner Female Practitioner

Kimberly Dainelle Green

Contractor • Macon, GA

Professional Overview & Biography Verified Profile Summary

Kimberly Green is a registered healthcare professional specializing in Contractor in Macon, GA. Practice services are available at 761 POPLAR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

761 Poplar St
Suite # 2 I

Macon, GA 312012082

Telephone 4784611955
Fax 4787452054
Associated Practice Facility / Clinic
🏢 Neurology Services Of Florida Facility NPI 1356721484

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Macon, GA (727 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License GA 011-R-0210

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Katie Rutland , MA

Marriage & Family Therapist

NPI 1760818124

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2011

Registered at 761 POPLAR ST, SUITE # 2 I, MACON, GA 312012082 (Tel: 4784611955)

📍
Updated Business Mailing Address July 12, 2011

Registered at 761 POPLAR ST, SUITE # 2 I, MACON, GA 312012082 (Tel: 4784611955)

👤
Provider Name / Credentials Updated July 12, 2011

Recorded as KIMBERLY GREEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2011

Contractor (License #011-R-0210 in GA)

🟢
Initial NPI Registration & Enumeration July 12, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891083887
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2011
Last Update: July 12, 2011
Sole Proprietor: Yes

Mailing Address

761 Poplar St, Suite # 2 I

Macon, GA 312012082

Phone: 4784611955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.