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Tayla Elizabeth Greene

Internal Medicine

Allopathic & Osteopathic Physicians

1270 Prince Ave Ste 201, Athens, GA 30606-2789

PECOS Enrollment

This provider is enrolled in PECOS as TAYLA GREENE.

Based on the most recent information from CMS, provider Tayla Elizabeth Greene is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215513239
Provider Type
Individual
Full Name
Greene, Tayla Elizabeth
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/21/2021
Last Updated
7/2/2024

Contact Information

Practice Location

1270 Prince Ave Ste 201, Athens, GA 30606-2789

(706) 475-7055

Unlisted Fax

Mailing Location

1199 Prince Ave # 70, Athens, GA 30606-2797

(706) 475-7055

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 99373 Georgia

Tayla Elizabeth Greene

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Shah, Nirvi

Physicians Management Group Alliance, Llc

Athens Regional Physician Services, Inc

St. Mary'S Medical Group, Inc.

Michael, Mini Ann

Addo, Basilio Nii Ayitey

Crites, Gerald E

Wallach, Esther Wimlen

Shillinger, Mallory

Townsend, David L