Ms. Catherine Larsen Green
Catherine Mary Larsen · Physician Assistant

Address: 3465 Macon Rd, Columbus, GA 31907
Phone: 7062433051

Ms. Catherine Larsen Green (NPI# 1285123919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1285123919
Entity Type Individual
Full Name Ms. Catherine Larsen Green
Other Name Catherine Mary Larsen
Credential PA
Gender Female
Practice Address 3465 Macon Rd
GA 31907
Practice Telephone 7062433051
Mailing Address 3465 Macon Rd
Ste D
GA 31907-2582
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-05-08
Last Update Date 2019-07-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 8766 GA

Secondary Practice Locations

Address Telephone Number Fax Number
610 19th St, Columbus, GA 319011528 7063227884 7062434356

Providers with the same name

NPI Name Taxonomy Address Enumeration
1164616751 Catherine Elyse Green Counselor 5016 Parkway Calabasas, Calabasas, CA 91302-1419 2007-08-28
1508964461 Catherine Grace Green Physical Therapist 7 Tuc Rd, 3a, Westminster, MD 21157-5086 2006-09-21
1124577358 Catherine Green Social Worker 4821 E Mcnichols Rd, Detroit, MI 48212-1730 2016-09-29
1063829620 Catherine Green Physician Assistant 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 2014-07-16
1104247600 Catherine Green Specialist 2625 E 14th St Ste 200, Brooklyn, NY 11235-3973 2013-12-31
1659695211 Catherine Marie Green Psychiatry & Neurology 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2010-03-24
1710169388 Catherine Renee Green Physical Therapist 9120 W 75th St, Life Dynamics Building-sportscare, Overland Park, KS 66204-2210 2007-12-05
1538365150 Catherine Eve Green Social Worker 45 S Park Blvd, Suite 255, Glen Ellyn, IL 60137-6280 2007-06-21

Physician Overview

NPI 1285123919
PAC ID by PECOS 0547510794
Professional Enrollment ID I20180910000141
Full Name Catherine Larsen Green
Phone Number 7063227884
Gender F
Graduation Year 2018
Group Practice PAC ID 2567765662
Number of Group Practice Members 37
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598367807 Leah Basile Physician Assistant 961 Tanager Dr, Columbus, IN 47203-1927 2020-11-11
1356941603 Ingrid Mompoint-butler Physician Assistant 1911 Oakland Park Ave, Columbus, OH 43224-3630 2020-10-27
1649886557 Justin Knox Physician Assistant 7416 Roslindale Dr, Columbus, OH 43235-8904 2020-09-17
1336766310 Mckenna Marie Wilson Physician Assistant 4752 Bentham Dr, Columbus, OH 43220-3204 2020-06-25
1881226744 Adrian Gorzitze-maxey Physician Assistant 117 W Como Ave, Columbus, OH 43202-1027 2020-02-09
1699316604 James Rodeman Physician Assistant 1351 Wyandotte Rd, Columbus, OH 43212-3248 2019-10-01
1740830017 Rylie Taylor Ingham Physician Assistant 285 E State St Ste 600, Columbus, OH 43215-4329 2019-09-18
1487201976 Columbus Surgical Assist, LLC Physician Assistant 605 N. High Street #234, Columbus, OH 43215-2024 2019-08-20
1699237743 Stefan Khensouri Physician Assistant 3375 Paddington Dr, Columbus, IN 47203-4328 2019-04-05
1932681715 Michael Kenneth Johnson Physician Assistant 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 2018-08-29
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Office Location

Street Address 3465 MACON RD
State GA
Zip Code 31907

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033190723 Brian Douglas Foor Physician Assistant 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 2005-11-09
1154830388 Sara Catrett Nurse Practitioner 3465 Macon Rd, Columbus, GA 31907-2581 2017-09-20
1114442340 Felicia Worthen Brock Nurse Practitioner 3465 Macon Rd, Columbus, GA 31907-2581 2017-08-09
1821462136 St Francis Affiliated Services LLC Clinic/Center 3465 Macon Rd, Ste. D, Columbus, GA 31907-2581 2015-11-24
1578971552 Lauren Geeter Bursey Nurse Practitioner 3465 Macon Rd, Ste D, Columbus, GA 31907-2581 2014-07-23
1881859825 Maria Elena Bendana Family Medicine 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 2008-07-18
1356488761 Mark A. Mills Physician Assistant 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 2007-02-01
1124102405 Angie Renee Haque Family Medicine 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 2006-10-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730702051 At Ease Private Home Care, LLC Home Health 3906 Pond View Court, Columbus, GA 31907 2020-05-20
1285268219 Mh 102, PC Nurse Practitioner 1 Aflac Parkway, Columbus, GA 31907 2020-02-28
1427602978 Alicia Keeshan Taylor Massage Therapist 5401 Gunboat Dr Unit 31, Columbus, GA 31907 2019-08-01
1285101071 Valerie Rena Bickham Chore Provider 1259 Bismarck Drive, Columbus, GA 31907 2018-10-30
1629555172 West Georgia Regenerative Medicine LLC General Practice 3624 Edgewood Rd Ste B, Columbus, GA 31907 2018-07-26
1659866747 Transitional Independence, LLC In Home Supportive Care 5633 Lexington Dr, Columbus, GA 31907 2018-06-29
1598285892 Aa Personal Care, LLC Nursing Care 547 Moye Rd, Columbus, GA 31907 2017-06-27
1366981573 Sabrina Renae Crosby Lopes Counselor 1120 21st Unit -a, Columbus, GA 31907 2017-02-21
1326445073 Angela James Nurse Practitioner 6400 Flatrock Road, Columbus, GA 31907 2014-11-24
1841617255 Sabrina Ann Patterson Community Health Worker 2726 Courtland, Columbus, GA 31907 2014-03-24
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Zip Code 31907

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.