Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Autumn Nicole Greene, PA-C

Individual provider Physician Assistant · NPI 1265802623

Autumn Nicole Greene, PA-C is a Physician Assistant in Sterling Heights, Michigan. Qualified in 2015, 11 years ago. Practices with Centra Medical Group LLC, a 717-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Virginia.

Years since qualifying
11
Licensed in
MI, VA
In the registry since
2015
Specialties on file
2
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

44344 Dequindre Rd Ste 260
Sterling Heights, MI 48314
Phone: (586) 323-1500
Fax: (586) 323-1515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 53960 Van Dyke Ave, Shelby Twp, MI 48316-1820 — (586) 323-1500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007483 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 0110009956 (VA)

Record details

NPI number1265802623
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2015
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Centra Medical Group Llc — 717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sterling Heights