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

Susan A Greene, APRN-BC

Individual provider Gerontology Nurse Practitioner · NPI 1982631040

Susan A Greene, APRN-BC is a Nurse Practitioner in Roswell, Georgia. Qualified in 1995, 31 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and North Carolina.

Years since qualifying
31
Licensed in
GA, NC
In the registry since
2006
Specialties on file
2

Practice location Address checks out

901 Bombay Ln
Roswell, GA 30076-5829
Phone: (770) 664-1920
Fax: (888) 388-9622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1345 Redmond Cir Nw, Rome, GA 30165-1307 — (910) 742-9243
  • 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 — (910) 742-9243

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 100566 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5023924 (NC)

Record details

NPI number1982631040
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-BC
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Roswell