Individual provider Active NPI

Heather C. Green, M.D.

  • Family Medicine Physician
  • Owensboro, KY
National Provider Identifier
1487693420
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39866 Issued in KY
Practice address
1325 Triplett St # B
Owensboro, KY 42303-3163
Phone
(270) 688-4325
Fax
(270) 687-4322
NPI assigned
Jun 5, 2006
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39866 KY Primary

Addresses

Primary practice location

1325 Triplett St # B
Owensboro, KY 42303-3163

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-1612

Other practice location 2

1307 N Main St
Beaver Dam, KY 42320-8957
Phone (270) 274-5602

Other identifiers 3

IdentifierTypeStateIssuer
P00912953OtherKYRAILROAD MEDICARE
64116429MedicaidKY
300011418MedicaidIN

Other names 1

  • Heather Ann Cromie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000278 KY Practitioner - Family Practice 7012980972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1307 N Main St
Beaver Dam, KY 42320-8957
Phone (270) 274-5601

1325 Triplett St
Owensboro, KY 42303-3163

200 Cardinal Dr
Suite 314
Elizabethtown, KY 42701-2787
Phone (270) 706-1010

2211 Mayfair Dr
Owensboro, KY 42301-4569

910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-9491

912 Wallace Ave
Leitchfield, KY 42754-2405

PO Box
Suite 23229
Owensboro, KY 42304-3229

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue227
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Feb 1, 2018 Accepting new patients
Owensboro Health Medical Group, Inc CurrentSince Feb 1, 2018 Accepting new patients
Urgent Care Specialists, LLC Past Accepting new patients
Owensboro Health Medical Group, Inc Family Medicine Past Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients
CG Medical Associates Inc Family Medicine PastSince Dec 1, 2021 Accepting new patients

Locations

1307 N Main St
Beaver Dam, KY 42320
Phone (270) 274-5601

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

1325 Triplett St
#B
Owensboro, KY 42303
Phone (270) 688-4235

1325 Triplett St
Ste B
Owensboro, KY 42303

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

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 6

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1487693420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 TRIPLETT ST # B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033163",
            "telephone_number": "270-688-4325",
            "fax_number": "270-687-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Wallace Ave",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427542414",
            "country_code": "US",
            "telephone_number": "270-259-1612",
            "fax_number": "270-259-1674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 N Main St",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "423208957",
            "country_code": "US",
            "telephone_number": "270-274-5602",
            "fax_number": "270-274-5612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HEATHER",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "39866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00912953",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64116429",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300011418",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CROMIE",
            "middle_name": "ANN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.