Active NPI
Mark Ellison Green, M.D.
- Internal Medicine Physician
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD0000017438
- Practice address
- 365 BMH Physicians Office BLDG
Maryville, TN 37804-5820 - Phone
- (865) 980-5360
- Fax
- (865) 980-5356
- NPI assigned
- Feb 15, 2006
- Last updated
- Oct 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD0000017438 | TN | Primary |
| Hospitalist Physician | 208M00000X | MD0000017438 | TN |
Addresses
Primary practice location
365 BMH Physicians Office BLDG
Maryville, TN 37804-5820
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1526169 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
365 BMH Physicians
Office BLDG
Maryville, TN 37804-5820
Phone (865) 960-5364
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17438 | TN | MD | Emergency Medicine Physician |
| MD0000017438 | TN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blount Memorial Physician Group, Inc | Internal Medicine | Current | Accepting new patients |
| Maryville Pulmonary & Sleep Medicine, LLC | Past | Accepting new patients |
Locations
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
103 W Broadway Ave
Maryville, TN 37801
1503 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 980-5290
365 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100
370 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 977-4673
458 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5355
463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100
710 Morganton Square Dr
Maryville, TN 37801
Phone (865) 380-4021
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mark.green.p1@direct.bmpg.nextgenshare.com
- mgreen864426@direct.ghs.myhfn.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
Internal Medicine
-
- Pulmonary Disease Physician
- Philadelphia, PA
- NPI 1053620765
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health Care
- Home Health Agency
- Knoxville, TN
- NPI 1710935408
-
dba Blount Memorial Hospital
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
-
dba Blount Memorial Hospital Home Health Services
- Home Health Agency
- Maryville, TN
- NPI 1649266974
-
dba University of TN Medical Center Home Care Services - Home Health
- Home Health Agency
- Knoxville, TN
- NPI 1346460953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1154395044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 BMH PHYSICIANS OFFICE BLDG",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045820",
"telephone_number": "865-980-5360",
"fax_number": "865-980-5356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MARK",
"middle_name": "ELLISON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD0000017438",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "MD0000017438",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1526169",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.