Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Knightly Green

Individual provider Urology Physician · NPI 1508524802

Amanda Knightly Green is a Nurse Practitioner in Montgomery, Alabama. Qualified in 2021, 5 years ago. Practices with The Center for Pain of Montgomery LLC, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
5
Licensed in
AL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone: (334) 288-7808
Fax: (334) 288-8089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 226 Mitylene Park Dr, Montgomery, AL 36117-3548 — (334) 875-4200

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-128331 (AL)
Urology Physician Taxonomy 208800000X · Licence 1-128331 (AL)

Record details

NPI number1508524802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2021
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address201 Defense Hwy Ste 205, Annapolis, MD 21401-7096

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Center For Pain Of Montgomery Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Montgomery