Douglass Green (NPI# 1871590166, PAC ID# 3577504604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1871590166 |
| PAC ID by PECOS | 3577504604 |
| Professional Enrollment ID | I20100604000383 |
| Full Name | Douglass Green |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Address |
1 Medical Park Blvd Bristol TN 37620-7430 |
| Phone Number | 4269683713 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1979 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8224935754 |
| Number of Group Practice Members | 229 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Park Blvd, Bristol, TN 37620-7430 | 4269683713 | HOLSTON MEDICAL GROUP PC |
| 2204 Palilion Dr, Kingsport, TN 37660-4652 | HOLSTON MEDICAL GROUP PC |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Physicians | 239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Axelrad | Family Medicine | Holston Medical Group PC | 4848 Fort Henry Dr, Kingsport, TN 37663-3347 |
| Jeffrey Richard Many | Family Medicine | Holston Medical Group PC | 275 N Nc 16 Business Hwy, Suite 103, Denver, NC 28037-3008 |
| Connie Rutledge | Nurse Practitioner | Holston Medical Group PC | 1754 Us Hwy 23 N, Weber City, VA 24290-7071 |
| Brandi N Adams | Obstetrics/gynecology | Holston Medical Group PC | 10826 Mallard Creek Rd, Suite 200, Charlotte, NC 28262-9725 |
| Kevin Wess | Family Medicine | Holston Medical Group PC | 4675 Redbud Hwy, Honaker, VA 24260-8004 |
| Shannon M Butler | Nurse Practitioner | Holston Medical Group PC | 9611 Sherrill Estates Rd, Suite B, Huntersville, NC 28078-6485 |
| Julie M Wentz | Family Medicine | Holston Medical Group PC | 9816 Sam Furr Rd, Suite 101, Huntersville, NC 28078-5042 |
| Kenyon L Draper | Nurse Practitioner | Holston Medical Group PC | 3500 Mount Holly Huntersville Rd, Suite B, Charlotte, NC 28216-8644 |
| Nancy E Deem | Nurse Practitioner | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Jennifer Shafer | Family Medicine | Holston Medical Group PC | 2033 Meadowview Ln, Suite 200, Kingsport, TN 37660-7432 |
| Street Address |
1 MEDICAL PARK BLVD |
| City | BRISTOL |
| State | TN |
| Zip | 37620-7430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassondra Nichole Compton | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| David R Hudgens | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Joe M Rupe | Internal Medicine | Wellmont Medical Associates Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Hevti Joshi | Internal Medicine | Wellmont Medical Associates Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Walter Davis Arnold Jr. | Internal Medicine | Southeastern Physician Services PC | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Michael Wayne Rentz | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Jonathan T Clark | Orthopedic Surgery | Appalachian Orthopaedic Associates PC | 1 Medical Park Blvd, 300e, Bristol, TN 37620-7497 |
| Joanne Viers | Nurse Practitioner | Wellmont Cardiology Services | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Roger J Mcsharry | Pulmonary Disease | Wellmont Medical Associates Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Barbara Jo Smith | Nurse Practitioner | Wellmont Cardiology Services | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Fowler | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Tara D Spurling | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Stacie L Mccray | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Cynthia L Mcglothlin | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Nyela Aldridge Edwards | Certified Nurse Midwife (cnm) | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey A Mcqueary | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Autumn R Hoover | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Alyssa Nicole Phelps | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey R Looney | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Lynn H Couch | Certified Registered Nurse Anesthetist (crna) | Innovative Surgical Solutions, Pllc | 3185 W State St, Suite 2020, Bristol, TN 37620-1600 |
| Find all physicians in zip 37620 | |||
| City | BRISTOL |
| Zip Code | 37620 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BRISTOL + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Douglass Green.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.