Individual provider Active NPI

Garrett Green, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1316574718
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001009895 Issued in NC
Practice address
1002 N Church St Ste 100
Greensboro, NC 27401-1447
Phone
(336) 890-2210
NPI assigned
Mar 25, 2020
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 001009895 NC Primary

Addresses

Primary practice location

1002 N Church St Ste 100
Greensboro, NC 27401-1447

Mailing address

301 Meadowood St
Greensboro, NC 27409-2305

Other practice location 1

1220 Magnolia St # 4A
Greensboro, NC 27401-1309
Phone (336) 663-5700

Other practice location 2

1121 N Church St.
Greensboro, NC 27401
Phone (336) 832-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521002539 NC Practitioner - Physician Assistant 0244651552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

1002 N Church St
Suite 100
Greensboro, NC 27401-1447
Phone (336) 580-5157

1127 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-7120

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

2630 Willard Dairy Rd
Suite 200
High Point, NC 27265-8351
Phone (336) 884-3800

301 E Wendover Ave
Suite 411
Greensboro, NC 27401-1211
Phone (336) 832-3210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001009895NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Medical Services, Inc. Physician Assistant CurrentSince Jan 12, 2026 Accepting new patients
Moses Cone Physician Services, Inc. Physician Assistant CurrentSince Jul 1, 2022 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jul 1, 2022 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Randolph Hospital Inc. PastSince Mar 1, 2020 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Physician Assistant PastSince Aug 19, 2026 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation PastSince Aug 19, 2026 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1002 N Church St
Ste 100
Greensboro, NC 27401
Phone (336) 275-6600

2630 Willard Dairy Rd
#200
High Point, NC 27265
Phone (336) 884-3800

2630 Willard Dairy Rd
Ste 200
High Point, NC 27265
Phone (336) 884-3800

621 S Main St
Ste 205
Reidsville, NC 27320
Phone (336) 342-6880

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Organizations & group practices 8

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 1

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1316574718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MEADOWOOD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011447",
            "telephone_number": "336-890-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Magnolia St # 4A",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011309",
            "country_code": "US",
            "telephone_number": "336-663-5700",
            "fax_number": "336-663-5734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 N Church St.",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27401",
            "country_code": "US",
            "telephone_number": "336-832-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "GARRETT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001009895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.