NPIMap

Individual provider Active NPI

Megan B Green, PA

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1548592355
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06453 Issued in TX
Practice address
6205 43Rd St # 100
Lubbock, TX 79407-3828
Phone
(806) 749-2263
Fax
(806) 749-2264
NPI assigned
Feb 3, 2010
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06453 TX Primary

Addresses

Primary practice location

6205 43Rd St # 100
Lubbock, TX 79407-3828

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0333

Other identifiers 1

IdentifierTypeStateIssuer
213074202MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address megan.green@direct.myteamcare.com UMC Physicians

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728000770 TX Practitioner - Physician Assistant 7517090574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Texas Tech University Health Science Center School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

6205 43Rd St
Lubbock, TX 79407-3828
Phone (806) 749-2263

7301 Milwaukee Ave
Lubbock, TX 79424-0626
Phone (806) 761-0464

7501 Quaker Ave
Lubbock, TX 79424-3367
Phone (806) 788-3306

808 Joliet Ave
Unit 110
Lubbock, TX 79415-1148
Phone (806) 761-0545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Umc Physicians Physician Assistant CurrentSince Jun 16, 2010 Accepting new patients

Locations

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

6205 43rd St
Lubbock, TX 79407
Phone (806) 749-2263

6205 43rd St
#100
Lubbock, TX 79407
Phone (806) 749-2263

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

808 Joliet Ave
Unit 220
Lubbock, TX 79415
Phone (806) 761-0566

Interoperability endpoints

  • Direct secure messaging: megan.green@direct.myteamcare.com

Organizations & group practices 1

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 7

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": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1548592355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0333",
            "fax_number": "806-785-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 43RD ST # 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073828",
            "telephone_number": "806-749-2263",
            "fax_number": "806-749-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MEGAN",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213074202",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan.green@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "address_1": "6205 43rd St # 100",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794073828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.