Casey Green, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1010 S Main St
Jonesboro, AR 72401-3503

Phone

(870) 932-1820

Fax

(870) 972-6712

NPI assigned

Aug 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Arkansas College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dickson Orthopedics PAGroup PAC ID 9335114941, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
• Crossridge Community Hospital Hospital, Wynne, AR, CCN 041307

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Dickson Orthopedics, P.a.

  • Orthopaedic Surgery Physician
  • Jonesboro, AR
  • NPI 1063487809
  Medicare reassignment Care Compare group
• Dickson Orthopedics, PA

  • Surgical Physician Assistant
  • Jonesboro, AR
  • NPI 1033650817
  NPD
• Spencer H. Guinn, M.D. P.a.

  • Orthopaedic Surgery Physician
  • Jonesboro, AR
  • NPI 1003881855
  NPD (past)

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

• St Bernard Community Hospital Corporation

  • Critical Access Hospital
  • Wynne, AR
  • NPI 1962410183
  Care Compare affiliation
• St Bernards Hospital Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1134895394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1533",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031533",
            "telephone_number": "870-932-1820",
            "fax_number": "870-972-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S MAIN ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013503",
            "telephone_number": "870-932-1820",
            "fax_number": "870-972-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CASEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgreen@jonesboroortho.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure messenger",
            "address_1": "1010 S Main St",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724013503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon K Gray, LPN
• Stanford J Gray, LCSW
• Steven Joseph Grbach Jr., PHARM.D
• Tara Greco, ATC, LAT
• Ashley Ellen Green, APRN-CNP, PMHNP-BC
• Chauncey Green, P.T.A.
• Eric Green, APRN
• Erin L Green, APRN
• Jada Green
• Lindsey Green, M.S. CCC, SLP

• Physician Assistant in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.