Daniel J Green (NPI# 1336130111, PAC ID# 4385643477) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1336130111 |
| PAC ID by PECOS | 4385643477 |
| Professional Enrollment ID | I20061219000427 |
| Full Name | Daniel J Green |
| Organization Legal Name | SOUTHLAND BAINBRIDGE HOSPITALIST GROUP LLC |
| Address |
247 S Main St Reidsville GA 30453-4605 |
| Phone Number | 9125571000 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7214248335 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110124 | WAYNE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2292360831 | SOUTHLAND BAINBRIDGE HOSPITALIST GROUP LLC |
| 247 S Main St, Reidsville, GA 30453-4605 | 9125571000 | SOUTHLAND BAINBRIDGE HOSPITALIST GROUP LLC |
| Organization Legal Name | SOUTHLAND BAINBRIDGE HOSPITALIST GROUP LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Woods | Nurse Practitioner | Southland Bainbridge Hospitalist Group LLC | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| Muhammad A Khan | Internal Medicine | Southland Bainbridge Hospitalist Group LLC | 90 E Stephens St, Camilla, GA 31730-1836 |
| Prashant Baliga | Internal Medicine | Southland Bainbridge Hospitalist Group LLC | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| Moneer A Sohail | Internal Medicine | Southland Bainbridge Hospitalist Group LLC | 116 W Thigpen Ave, Lakeland, GA 31635-1011 |
| Sidney Joseph Morgan | Emergency Medicine | Southland Bainbridge Hospitalist Group LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Mark A Gay | Emergency Medicine | Southland Bainbridge Hospitalist Group LLC | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| Dawn C Howell | Physician Assistant | Southland Bainbridge Hospitalist Group LLC | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| Kristopher Palmer | Internal Medicine | Southland Bainbridge Hospitalist Group LLC | 1050 Valdosta Hwy, Homerville, GA 31634-9701 |
| Mark A Lewis | Emergency Medicine | Southland Bainbridge Hospitalist Group LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Vijia P George | Family Practice | Southland Bainbridge Hospitalist Group LLC | 462 E G Miles Pkwy, Hinesville, GA 31313-4000 |
| Street Address |
247 S MAIN ST |
| City | REIDSVILLE |
| State | GA |
| Zip | 30453-4605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick Justin Lancaster | Family Medicine | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Cala Brooke Tanner | Nurse Practitioner | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Sidney Joseph Morgan | Emergency Medicine | Southland Bainbridge Hospitalist Group LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Sherry R May | Nurse Practitioner | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| John Sarzier | Neurosurgery | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Lauren A Sack | Physician Assistant | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Gregory O Spellman | Pain Management | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Terrence D Webb | Nurse Practitioner | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Don G Aaron | Orthopedic Surgery | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Markus Niederwanger | Physical Medicine and Rehabilitation | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory L Fortner | Family Practice | 222 S Main St, Reidsville, GA 30453-4602 | |
| Joel L Bond | Physical Medicine and Rehabilitation | Tattnall Hospital Company LLC | 247 A S Main St, Reidsville, GA 30453-4605 |
| Megan K Ansley | Physical Therapy | Tattnall Hospital Company LLC | 2317 E 1st St, Vidalia, GA 30453-4605 |
| John D Mccormick Jr. | Orthopedic Surgery | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Jana L Bunch | Nurse Practitioner | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| William Stephen Tankersley | Orthopedic Surgery | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Donald F Kennedy | General Surgery | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Daniel B Avery | Internal Medicine | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| David M Sedory | Orthopedic Surgery | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Arunasree Pothuraju | Family Medicine | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Find all physicians in zip 30453 | |||
| City | REIDSVILLE |
| Zip Code | 30453 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | REIDSVILLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Daniel J 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.