Organization Active NPI

Center for Neurology & Pain Management LLC

  • Pain Medicine Physician
  • Bethesda, MD
National Provider Identifier
1215051719
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
D0052444 Issued in MD
Legal business name
CENTER FOR NEUROLOGY & PAIN MANAGEMENT LLC
Practice address
6420 Rockledge Dr
Suite 2500
Bethesda, MD 20817-7837
Phone
(301) 530-9200
Fax
(301) 530-9442
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Jody Ellen Green, M.D.NPI 1154431914
Title
Owner
Phone
(301) 530-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X D0052444 MD
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X D0052444 MD Primary

Addresses

Primary practice location

6420 Rockledge Dr
Suite 2500
Bethesda, MD 20817-7837

Mailing address

6420 Rockledge Dr
Suite 2500
Bethesda, MD 20817-7837
Phone (301) 530-9200

National Provider Directory

National Provider Directory

Locations

6420 Rockledge Dr
Ste 4290
Bethesda, MD 20817
Phone (240) 449-8262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215051719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 ROCKLEDGE DR",
            "address_2": "SUITE 2500",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177837",
            "telephone_number": "301-530-9200",
            "fax_number": "301-530-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 ROCKLEDGE DR",
            "address_2": "SUITE 2500",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177837",
            "telephone_number": "301-530-9200",
            "fax_number": "301-530-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR NEUROLOGY & PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-530-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0052444",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "D0052444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.