NPIMap

Individual provider Active NPI

Alison Louise Green, MD

  • Family Medicine Physician
  • Newport, AR
National Provider Identifier
1508157371
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E7874 Issued in AR
Practice address
1200 McLain St Ste G
Newport, AR 72112-3550
Phone
(870) 523-0193
Fax
(978) 525-2342
NPI assigned
Apr 27, 2011
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E7874 AR Primary
Family Medicine Physician 207Q00000X 266537 MA

Addresses

Primary practice location

1200 McLain St Ste G
Newport, AR 72112-3550

Mailing address

1200 McLain St Ste G
Newport, AR 72112-3550
Phone (870) 523-0193

Other practice location 1

311 E. Jackson Ave
Jonesboro, AR 72401
Phone (870) 972-0063

Other identifiers 1

IdentifierTypeStateIssuer
205352001MedicaidAR

Other names 1

  • Alison Louise Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MA, ME3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141013001571 AR Practitioner - Family Practice 2365662418 Reassigns benefits to 1 organization
I20160908002250 MA Practitioner - Family Practice 2365662418 Reassigns benefits to 1 organization
I20180306001423 ME Practitioner - Family Practice 2365662418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

1200 McLain St
Suite G
Newport, AR 72112-3550
Phone (870) 523-0193

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E7874ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center Current Accepting new patients
White County Medical Center Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
York Hospital Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Sep 9, 2017 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Sep 9, 2017 Accepting new patients
White County Medical Center CurrentSince Feb 1, 2015 Accepting new patients
White County Medical Center Past Accepting new patients

Locations

2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800

1117 McLain St
Ste 100
Newport, AR 72112
Phone (870) 512-3022

1200 McLain St
Ste G
Newport, AR 72112
Phone (870) 523-0193

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

195 School St
Manchester by the Sea, MA 01944
Phone (978) 526-4311

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

1474 Main St
Sanford, ME 04073
Phone (207) 608-8425

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1508157371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MCLAIN ST STE G",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123550",
            "telephone_number": "870-523-0193",
            "fax_number": "978-525-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MCLAIN ST STE G",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123550",
            "telephone_number": "870-523-0193",
            "fax_number": "978-525-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 E. Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "72401",
            "country_code": "US",
            "telephone_number": "870-972-0063",
            "fax_number": "870-910-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ALISON",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E7874",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "266537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205352001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "LEE",
            "middle_name": "LOUISE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport, AR

Sources for this page

Verify at the official NPI Registry.