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

Caitlyn Michelle Greene, PA-C

Individual provider Physician Assistant · NPI 1902596380

Caitlyn Michelle Greene, PA-C is a Physician Assistant in Atlanta, Georgia. Qualified in 2023, 3 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
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

975 Johnson Ferry Rd Ste 400
Atlanta, GA 30342-4736
Phone: (404) 843-4000
Fax: (404) 250-6701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2173 Highland Ave S Apt M211, Birmingham, AL 35205-4075 — (405) 315-7575

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12129 (GA)

Record details

NPI number1902596380
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 10, 2023
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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