Active NPI
Michael E. Green
- Ophthalmology Physician
- Gallatin, TN
National Provider Identifier
1104025246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD0000025545
- Legal business name
- MICHAEL E. GREEN
- Practice address
- 854 Lone Oak Dr
Gallatin, TN 37066-3694 - Phone
- (615) 452-1602
- Fax
- (615) 451-0139
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Burton
- Title
- Director
- Phone
- (434) 661-7762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD0000025545 | TN | Primary |
Addresses
Primary practice location
854 Lone Oak Dr
Gallatin, TN 37066-3694
Mailing address
854 Lone Oak Dr
Gallatin, TN 37066-3694
Phone (615) 452-1602
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2680132003 | Other | TN | CIGNA COMMERCIAL |
| 3083540 | Other | TN | MEDICARE PROVIDER ID - IN |
| NASH86608 | Other | TN | PHCS |
| 0840119 | Other | TN | UNITED HEALTH CARE |
| 4480107 | Other | TN | AETNA |
| 3373178 | Other | TN | MEDICARE PROVIDER ID- GRO |
| F88358 | Other | TN | UPIN |
| 180019007 | Other | TN | MEDICARE RAILROAD |
| 3373178 | Medicaid | TN | |
| 0191345 | Other | TN | BLUE CROSS BLUE SHIELD OF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
854 Lone Oak Dr
Ste 120
Gallatin, TN 37066
Phone (615) 452-1602
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Gallatin, TN
- NPI 1053414581
-
- Optometrist
- Gallatin, TN
- NPI 1144517079
-
- Glaucoma Specialist (Ophthalmology) Physician
- Murfreesboro, TN
- NPI 1437136959
-
- Optometrist
- Franklin, TN
- NPI 1659990653
-
- Optometrist
- Goodlettsville, TN
- NPI 1962852608
-
- Cornea and External Diseases Specialist Physician
- Franklin, TN
- NPI 1063891216
-
- Optometrist
- Murfreesboro, TN
- NPI 1023739505
-
- Optometrist
- Nashville, TN
- NPI 1053753541
-
- Retina Specialist (Ophthalmology) Physician
- Nashville, TN
- NPI 1124077359
-
- Optometrist
- Tullahoma, TN
- NPI 1821030099
-
- Ophthalmology Physician
- Nashville, TN
- NPI 1417987926
-
- Optometrist
- Fountain, CO
- NPI 1952396707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1104025246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 LONE OAK DR",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663694",
"telephone_number": "615-452-1602",
"fax_number": "615-451-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 LONE OAK DR",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663694",
"telephone_number": "615-452-1602",
"fax_number": "615-451-0139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL E. GREEN",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "BURTON",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "434-661-7762"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TN",
"license": "MD0000025545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA COMMERCIAL",
"identifier": "2680132003",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER ID - IN",
"identifier": "3083540",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "NASH86608",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0840119",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4480107",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER ID- GRO",
"identifier": "3373178",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "F88358",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "180019007",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3373178",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "0191345",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallatin, TN
- Mark Mendoza, D.C.
- Meridian Wellness Center, PLLC
- Rodney Brandon Mewbourne, M.D.
- Lindsey M Meyer, DPT
- Michael D. Jessee (Homebound Solutions)
- Katharine Michie, MS OTR/L
- Mid State Medical Group, LLC
- Middle Tennessee Chiropractic P.L.L.C. (Middle Tennessee Chiropractic)
- Middle Tennessee Nephrology
- Middle Tennessee Orthopaedics PC (Middle TN Orthopaedics, PC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.