MR. JAMES ELLIS GREEN (NPI# 1871709840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871709840 |
| Entity Type | Individual |
| Full Name | MR. JAMES ELLIS GREEN |
| Credential | MD |
| Practice Address |
526 Pearl Nix Parkway Suite #103 Gainesville GA 30501 |
| Mailing Address |
Po Box 7970 Gainesville GA 30504 |
| Practice Telephone | 7705357978 |
| Practice Fax Number | 7705358050 |
| Mailing Telephone | 7705357978 |
| Mailing Fax Number | 7705358050 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G027200 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | D0330448A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861572 | James Coleman Green | Student in an Organized Health Care Education/Training Program | 8312 Nw 115th St, Oklahoma City, OK 73162-2062 | 2020-04-28 |
| 1902369671 | James D Green | Nurse Practitioner | 501 E Carthage St, Meade, KS 67864 | 2019-04-10 |
| 1932637840 | James Green | Behavioral Analyst | 3307 Summit Dr, Bridgewater, MA 02324-2189 | 2017-05-23 |
| 1043618002 | James Green | Counselor | 2910 Royal Fern Ln, Charlotte, NC 28215-2877 | 2014-12-08 |
| 1730521113 | James William Green | Dermatology | 9108 Zyle Rd, Austin, TX 78737 | 2013-07-25 |
| 1881814093 | James N. Green Jr. | Counselor | 4302 Clarks Valley Rd, Swords Creek, VA 24649 | 2007-04-27 |
| 1316066723 | James Royce Green | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-03-28 |
| 1902921299 | James Theodore Green Sr. | Counselor | 7400 S Racine Ave, Suite 101, Chicago, IL 60636-4114 | 2007-03-19 |
| 1033241856 | James J Green | Preventive Medicine | 3595 Crump Rd, Tallahassee, FL 32309-9291 | 2007-03-09 |
| 1699811224 | James Clifford Green | Psychiatry & Neurology | 105 West 8th Ave, Ste 408, Spokane, WA 99204-2318 | 2007-01-30 |
| Street Address |
526 PEARL NIX PARKWAY SUITE #103 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255971875 | Jovanny Quesada | General Practice | 3736 Sw Archer Rd, Gainesville, FL 32608-2338 | 2020-01-11 |
| 1588949002 | Valli N Shanmugam | General Practice | 3215 Nw 47th Pl, Gainesville, FL 32605-1185 | 2011-10-16 |
| 1093030652 | Daniel Dat Bui | General Practice | 2931 Nw 24th Ter, Gainesville, FL 32605-2864 | 2010-04-07 |
| 1164617213 | James Stephen Jones Md | General Practice | 413 E Broadway St, Gainesville, TX 76240-4169 | 2007-09-12 |
| 1710183488 | Abigail Rosario Rivera | General Practice | 224 Se 24th Street, Gainesville, FL 32641-1327 | 2007-06-21 |
| 1306998133 | Russell Edmunds Richardson | General Practice | 1990 Limestone Cir, Suite 100, Gainesville, GA 30501-7445 | 2007-01-18 |
| 1851479505 | Maurice Douglas Levy | General Practice | 2281 Nw 24th Ave, Gainesville, FL 32605-2941 | 2006-11-01 |
| 1376633586 | Rodolfo Bartolome Carrillo Sr. | General Practice | 420 Broad St Se, Gainesville, GA 30501-3726 | 2006-10-16 |
| 1780780841 | Isabel Rodriguez | General Practice | 3600 Nw 43rd St Ste D2, Gainesville, FL 32606-8127 | 2006-09-16 |
| 1346342656 | Elias Martinez | General Practice | 3600 Nw 43rd St, Ste A1, Gainesville, FL 32606-8138 | 2006-09-05 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on MR. JAMES ELLIS GREEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.