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

Brooklyn Walsh Green, PA-C

Individual provider Physician Assistant · NPI 1447837828

Brooklyn Walsh Green, PA-C is a Physician Assistant in Thomasville, Georgia. Qualified in 2021, 5 years ago. Practices with Archbold Medical Group, Inc, a 81-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
5
Licensed in
FL, GA
In the registry since
2021
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

100 Mimosa Dr Fl 2
Thomasville, GA 31792-6676
Phone: (229) 228-5500
Fax: (229) 584-5985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12179 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA9114960 (FL)

Record details

NPI number1447837828
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 24, 2021
Last updated in NPPESApril 20, 2024
Certification dateApril 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Archbold Medical Group, Inc. — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Thomasville