Michael Franklin Green, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

23972 Issued in GA

Practice address

818 St Sebastian Way
Ste 403
Augusta, GA 30901

Phone

(706) 722-0705

Fax

(706) 722-7315

NPI assigned

Jul 10, 2006

Last updated

Jun 17, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.190

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.

• Augusta Urology Associates, LLC

  • Specialist
  • Evans, GA
  • NPI 1366511834
  Medicare reassignment NPD
• Augusta Urology Associates, LLC

  • Non-Pharmacy Dispensing Site
  • Evans, GA
  • NPI 1922750462
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1518991496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 ST SEBASTIAN WAY",
            "address_2": "STE 403",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-0705",
            "fax_number": "706-722-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 ST SEBASTIAN WAY",
            "address_2": "STE 403",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-0705",
            "fax_number": "706-722-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MICHAEL",
        "middle_name": "FRANKLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "23972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00270212B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Gray Green Jr., M.D.
• Kendall Nichole Green, NP
• Kristen Green, DMD
• Margaret O Green, MD
• Mary Fisher Green, PA-C
• Nykia Green
• Shannon Green, LPN
• Tanaysa Green, FNP
• Walter Green III
• Christal Lee Greene, M.D.

• Urology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.