NPI 1588658363
Jennifer S. Green, PA-C
Physician Assistant, Medical · Savannah, GA
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 2:24 pm EDT
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Jennifer S. Green, PA-C is a health care provider (Physician Assistant, Medical) in Savannah, Georgia with National Provider Identifier (NPI) 1588658363. The NPI was issued on Sep 7, 2005 and the registry record was last updated on Jun 24, 2025. The registry lists a license in Georgia.
Registry record
- NPI
- 1588658363
- Type
- Individual (NPI-1)
- Primary specialty
- Physician Assistant, Medical 363AM0700X
- Practice location
- 6510 Seawright Dr
Savannah, GA 31406-2752 - Phone
- (124) 213-7479
- NPI issued
- Sep 7, 2005
- Registry record updated
- Jun 24, 2025
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | Georgia | 4605 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Medical Physician Assistant providers in Georgia
- John M. Aaron, PAAlpharetta, GA
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.