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

Andrea C Green, PA-C

Individual provider Physician Assistant · NPI 1356328231

Andrea C Green, PA-C is a Physician Assistant in Edgewood, Kentucky. Graduated from University of Kentucky College of Medicine in 2004, 22 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana, Kentucky and Ohio.

Years since qualifying
22
Trained at
University of Kentucky College of Medicine
Licensed in
IN, KY, OH
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

711 Medical Village Dr
Edgewood, KY 41017-3439
Phone: (859) 287-3045
Fax: (859) 578-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 — (812) 496-4910

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA900 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 10004353A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 55001096 (OH)

Record details

NPI number1356328231
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 30, 2005
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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