Green Neurologic Associates, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

GREEN NEUROLOGIC ASSOCIATES, PLLC

Practice address

28292 Harwich Dr
Farmington Hills, MI 48334-3204

Phone

(248) 761-4203

NPI assigned

Jan 8, 2025

Organization subpart

No

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

Authorized official

Name

Dr. David A Green, DONPI 1215926522

Title

Owner

Phone

(248) 761-4203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David A Green, D.O.

  • Neurology Physician
  • Farmington Hills, MI
  • NPI 1215926522
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1063222578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28292 HARWICH DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343204",
            "telephone_number": "248-761-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28292 HARWICH DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343204",
            "telephone_number": "248-761-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN NEUROLOGIC ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-761-4203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Catherine Grech, M.S.,L.L.P.
• Heather Grech
• Seanathan Greeley
• Shanay Greely
• Kysaji Green Early
• Taistarsha Green- Miles
• Kanei Green-Scott
• Alex Jason Green, M.D.
• Alexandra Green
• Alexis Green

• Neurology Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.