Individual provider Active NPI

Jason Kyle Green, D.O.

  • Pulmonary Disease Physician
  • Germantown, TN
National Provider Identifier
1164818233
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4746 Issued in TN
Practice address
2120 Exeter Rd Ste 250
Germantown, TN 38138-3931
Phone
(901) 767-5864
Fax
(901) 767-6591
NPI assigned
Apr 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4746 TN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 344135 LA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 30295 MS
Pulmonary Disease Physician 207RP1001X 30295 MS
Pulmonary Disease Physician 207RP1001X 344135 LA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 30295 MS
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4746 TN
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X 4746 TN Primary

Addresses

Primary practice location

2120 Exeter Rd Ste 250
Germantown, TN 38138-3931

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice location 1

363 Southcrest Cir Ste 201
Southaven, MS 38671-4737
Phone (662) 349-0488

Other practice location 2

2647 S Saint Elizabeth Blvd Ste 215
Gonzales, LA 70737-5020
Phone (225) 765-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, LA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220815001254 TN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 6305171141 Reassigns benefits to 1 organization
I20220822002486 MS Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 6305171141 Reassigns benefits to 1 organization
I20250813002778 LA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6305171141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
West Virginia School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians

Practice addresses (Care Compare)

2647 S Saint Elizabeth Blvd
Suite 215
Gonzales, LA 70737-5020
Phone (225) 647-8511

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.71 of 100Reported as group
Quality
71.4
Promoting interoperability
100
Improvement activities
40
Cost
72.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30295MSMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Jul 1, 2025 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2025 Accepting new patients
Memphis Lung Physicians Foundation, Inc. Critical Care Medicine CurrentSince Aug 1, 2022 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Memphis Lung Physicians, P.C. Pulmonary Disease PastSince Aug 7, 2022 Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

8585 Picardy Ave
Ste 516
Baton Rouge, LA 70809
Phone (225) 381-2755

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

363 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 349-0488

2120 Exeter Rd
Ste 250
Memphis, TN 38138
Phone (901) 767-5864

Interoperability endpoints

  • Direct secure messaging: jgreen5338480@direct.casso.us.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1164818233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXETER RD STE 250",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383931",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 Southcrest Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714737",
            "country_code": "US",
            "telephone_number": "662-349-0488",
            "fax_number": "901-850-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2647 S Saint Elizabeth Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707375020",
            "country_code": "US",
            "telephone_number": "225-765-5500",
            "fax_number": "225-644-4206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JASON",
        "middle_name": "KYLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "4746",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "LA",
            "license": "344135",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MS",
            "license": "30295",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "30295",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "344135",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MS",
            "license": "30295",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "4746",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.