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

Kody Green, CNP

Individual provider Family Medicine Physician · NPI 1366193310

Kody Green, CNP is a Nurse Practitioner in Centerburg, Ohio. Qualified in 2021, 5 years ago. Practices with Knox Community Hospital, a 117-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2022
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

3595 Columbus Rd
Centerburg, OH 43011-7088
Phone: (740) 625-6234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence APRN.CNP.0030515 (OH)

Record details

NPI number1366193310
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedJanuary 11, 2022
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

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 Knox Community Hospital — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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