Benny J Green MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BENNY J GREEN MD PA

Practice address

14309 Cantrell Rd
Ste 7
Little Rock, AR 72223

Phone

(501) 224-6727

Fax

(501) 224-0674

NPI assigned

Jun 23, 2006

Last updated

Jan 11, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sherry L Morshedi, RHIT

Title

Practice Manager

Phone

(501) 224-6727

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy Graham

  • Family Nurse Practitioner
  • Maumelle, AR
  • NPI 1245699024
  Medicare reassignment Care Compare group NPD
• Benny J Green, M.D.

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1609873983
  Medicare reassignment Care Compare group NPD
• Rebecca A Camp

  • Gerontology Nurse Practitioner
  • Little Rock, AR
  • NPI 1013367226
  Medicare reassignment NPD
• Amy Marie Cooper

  • Gerontology Nurse Practitioner
  • Little Rock, AR
  • NPI 1932754942
  Medicare reassignment NPD
• Keith D Hough, M.D.

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1295732758
  Medicare reassignment NPD
• Charles D Carttar, M.D.

  • Adult Medicine Physician
  • Little Rock, AR
  • NPI 1750367199
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1043246168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14309 CANTRELL RD",
            "address_2": "STE 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223",
            "telephone_number": "501-224-6727",
            "fax_number": "501-224-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14309 CANTRELL RD",
            "address_2": "STE 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223",
            "telephone_number": "501-224-6727",
            "fax_number": "501-224-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNY J GREEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "MORSHEDI",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "501-224-6727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122497002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD8533",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia-Angel Bennett
• Michael Bennett
• Renee Bennett, PT
• Tamia Bennett, QBHP
• Trudy L Bennett, DC
• Amanda Benson, MSE, DT
• Anderson L Benson Jr., PA-C
• Frederick R Bentley, MD
• Ashley Benton, APRN
• William H Benton, M.D.

• Family Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.