Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Faye Mariz Razon Green, PA-C

Individual provider Physician Assistant · NPI 1215472436

Mrs. Faye Mariz Razon Green, PA-C is a Physician Assistant in Marietta, Georgia. Graduated from Louisiana State University School of Medicine in Shreveport in 2016, 10 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arkansas, Georgia and Virginia.

Years since qualifying
10
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
AR, GA, VA
In the registry since
2016
Specialties on file
4
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

55 Whitcher St NE Ste 160
Marietta, GA 30060-1160
Phone: (770) 590-4180
Fax: (770) 590-4186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4301 W Markham St # 532, Little Rock, AR 72205-7101 — (016) 865-3115
  • 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 — (404) 616-1000
  • 3300 Gallows Rd, Falls Church, VA 22042-3307 — (703) 776-4001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10083 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA-697 (AR)
Surgical Physician Assistant Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence 0110008596 (VA)

Record details

NPI number1215472436
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 23, 2016
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2016 (10 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Marietta