Hannah Green
Physician Assistant in Charlottesville, VA. Individual provider (NPI-1).
NPI number1104765049
StatusActive
Last updated in NPPESNov 6, 2026
Details
- NPI
- 1104765049
- Entity type
- Individual (NPI-1)
- Name
- Hannah Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2026
- Certification date
- Nov 6, 2026
- Last updated
- Nov 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110012420 | VA | Yes |
Practice location
1300 Jefferson Park AveCharlottesville, VA 22903-3363
Phone 434-924-5078 · Fax 434-924-8118
Mailing address
Po Box 749112Atlanta, GA 30374-9112
Other practice locations
1215 Lee St
Charlottesville, VA 22908-0816
Charlottesville, VA 22908-0816
Phone 434-924-3627 · Fax 434-982-3433
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 163 Physician Assistant providers in Charlottesville · All 7,958 providers in Charlottesville
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