Nathaniel Green, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5945 Issued in TN

Practice address

3443 Dickerson Pike Ste 190
Nashville, TN 37207-2533

Phone

(615) 301-8269

NPI assigned

Feb 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Murfreesboro Radiology and Nuclear Medicine Consultants PLLCGroup PAC ID 7719964063, 101 clinicians

Tennessee Interventional and Procedural Specialists PLLCGroup PAC ID 5092291948, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Tennessee Interventional and Procedural Specialists PLLC

  • Vascular & Interventional Radiology Physician
  • Murfreesboro, TN
  • NPI 1598647380

  TN

  Medicare reassignment Care Compare group NPD
• Murfreesboro Radiology & Nuclear Medicine Consultants PLLC

  • Diagnostic Radiology Physician
  • Murfreesboro, TN
  • NPI 1316043524

  TN

  Medicare reassignment Care Compare group
• Middle Tennessee Imaging LLC

  • Diagnostic Radiology Physician
  • Dickson, TN
  • NPI 1770667289

  TN

  Medicare reassignment NPD
• Ut Regional One Physicians Inc

  • Surgery Physician
  • Memphis, TN
  • NPI 1093130585

  Physician Assistant, TN

  Medicare reassignment NPD
• Hughston Clinic Southeast PC

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1225401946

  TN

  Medicare reassignment NPD
• Hughston Clinic Southeast PC

  • Durable Medical Equipment & Medical Supplies
  • Nashville, TN
  • NPI 1770004863
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Thomas Rutherford Hospital

  • General Acute Care Hospital
  • Murfreesboro, TN
  • NPI 1164590386

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1497510358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-494-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 190",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072533",
            "telephone_number": "615-301-8269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Park Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372043956",
            "country_code": "US",
            "telephone_number": "615-966-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NATHANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5945",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "5945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnissa Green
• Makayla Green
• Margaret Green, MS, RD, LDN
• Mary Ann Green, M.A., LPC, RD, LD
• Mary Lauren Green, PMHNP-BC
• Parker Green, DC
• Rachael M Green, APRN, MSN, NNP-BC
• Rachel Green
• Robert Jeffrey Green, M.D.
• Ronya Green, M.D.

• All providers in Nashville, TN
• Surgical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.