Garland Vestal Greene III, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101047176 Issued in VA

Practice address

755 Thimble Shoals Blvd
Suite C
Newport News, VA 23606-3560

Phone

(757) 814-3038

Fax

(757) 224-0848

NPI assigned

Mar 18, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Med of Williamsburg

  • Family Medicine Physician
  • Williamsburg, VA
  • NPI 1265616221
  NPD (past)

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1437576204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 THIMBLE SHOALS BLVD",
            "address_2": "SUITE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063560",
            "telephone_number": "757-814-3038",
            "fax_number": "757-224-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 THIMBLE SHOALS BLVD",
            "address_2": "SUITE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063560",
            "telephone_number": "757-814-3038",
            "fax_number": "757-224-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "GARLAND",
        "middle_name": "VESTAL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-18",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101047176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Sharnise Green
• Margaret Lappan Green, RDH, MS
• Marian Elizabeth Green, APRN
• Myra Dunford Green, LCSW
• Greenbrook TMS Newport News LLC
• Tydus De'Aundra Greene
• Kimberly Greenwell, DMD
• Lisa Marie Greer, FNP-BC
• Gregory P. Jellenek, OD & Associates, PC
• John S. Gremer, MD

• Internal Medicine Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.