Gordon Martin Green, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101052580 Issued in VA

Practice address

295 Commonwealth Blvd W
Martinsville, VA 24112-1820

Phone

(276) 638-2311

Fax

(276) 638-3537

NPI assigned

Mar 31, 2006

Last updated

Aug 21, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

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.

• Central Piedmont Health Services, Inc

  • Primary Care Clinic/Center
  • Axton, VA
  • NPI 1215915665
  NPD (past)
• Commonwealth of Virginia State Board of Health

  dba Nelson County Health Department

  • Public Health or Welfare Agency
  • Arrington, VA
  • NPI 1679580922
  NPD (past)
• Commonwealth of Virginia State Board of Health

  dba Patrick County Health Department

  • Public Health or Welfare Agency
  • Stuart, VA
  • NPI 1932218153
  NPD (past)
• Danville Regional Medical Center, LLC

  dba SOVAH Health Martinsville

  • General Acute Care Hospital
  • Martinsville, VA
  • NPI 1225208705
  NPD (past)
• Martinsville Physician Practices LLC

  • Internal Medicine Physician
  • Martinsville, VA
  • NPI 1255380887

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1295796951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CORN TASSEL TRL",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241125606",
            "telephone_number": "276-666-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 COMMONWEALTH BLVD W",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121820",
            "telephone_number": "276-638-2311",
            "fax_number": "276-638-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "GORDON",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101052580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010362661",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tahlia Suzanne Gravely, CPRS-T, RPRS
• Lisa Marie Graves
• Joshua Gray, PHARMD
• Tyler Andrew Gray, CPO
• Donald Michael Grayson, MD
• Greensboro Pathology, LLC
• Edith Lovette Grevious, MASTERS PUBLIC HLTH
• Kayla C Griffin, PHARM D
• Megan Hankins Grogan, SPEECH THERAPIST
• Ned Jay Gross, M.D.

• Family Medicine Physician in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.