NPIMap

Individual provider Active NPI

Jami E. Green, MD

  • Family Medicine Physician
  • Huntington, WV
National Provider Identifier
1124232954
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23215 Issued in WV
Practice address
2828 First Avenue
Suite 510
Huntington, WV 25701
Phone
(304) 529-0483
Fax
(304) 781-2687
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23215 WV Primary

Addresses

Primary practice location

2828 First Avenue
Suite 510
Huntington, WV 25701

Mailing address

2828 First Avenue
Suite 510
Huntington, WV 25701
Phone (304) 529-0483

Other identifiers 5

IdentifierTypeStateIssuer
288002OtherOHMEDICAID - CHHI
7411361OtherMEDICARE - CHHI
7100066490MedicaidKY
9347204OtherWVAETNA
3810013111MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000730 WV Practitioner - Emergency MedicinePractitioner - Family Practice 9739242173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JC Edwards School of Medicine, Marshall University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1751 Earl L Core Rd
Morgantown, WV 26505-5891

4290 US Route 60
Huntington, WV 25705-2936

PO Box
Suite 70
Dawes, WV 25054-0070

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Charleston, WV, CCN 517115
  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23215WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Cabin Creek Health Center, Inc. Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince Jan 29, 2014 Accepting new patients
Cabin Creek Health Center Inc CurrentSince Jan 29, 2014 Accepting new patients
Valley Health Systems, Inc. Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Family Medicine Past Accepting new patients

Locations

107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

Interoperability endpoints

  • Direct secure messaging: jgreen26499@valleyhealthsystems.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1124232954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 FIRST AVENUE",
            "address_2": "SUITE 510",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-529-0483",
            "fax_number": "304-781-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 FIRST AVENUE",
            "address_2": "SUITE 510",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-529-0483",
            "fax_number": "304-781-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JAMI",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "23215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - CHHI",
            "identifier": "288002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - CHHI",
            "identifier": "7411361",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100066490",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9347204",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013111",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.