Active NPI
Jason Kyle Green, D.O.
- Pulmonary Disease Physician
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4746
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- West Virginia School of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30295 | MS | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Memphis Lung Physicians Foundation, Inc. | Critical Care Medicine | Current | Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Past | Accepting new patients | |
| Memphis Lung Physicians, P.C. | Pulmonary Disease | Past | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
-
- Pulmonary Disease Physician
- Germantown, TN
- NPI 1811279656
Critical Care Medicine, MS
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
-
- Pulmonary Disease Physician
- Memphis, TN
- NPI 1053340166
-
dba OLOL Physician Surgical Specialty
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Family Health Center
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1184648651
Hospital
-
dba Baton Rouge General Surgical Associates
- Surgery Physician
- Baton Rouge, LA
- NPI 1215199724
Hospital
-
dba Baton Rouge General Hospital Specialists
- Neurological Surgery Physician
- Baton Rouge, LA
- NPI 1285887844
Hospital
-
dba BRG Comprehensive Care Center
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1407346984
Hospital
-
dba Baton Rouge General Express Care
- Clinic/Center
- Baton Rouge, LA
- NPI 1679096416
Hospital
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1962537407
-
dba Our Lady of the Lake Regional Medical Center
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.