Active NPI
Andrew C Green, D.C.
- Chiropractor
- Clemmons, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011783-1
- Practice address
- 6000 Meadowbrook Mall CT Ste 3a
Clemmons, NC 27012-8775 - Phone
- (363) 893-5662
- NPI assigned
- Nov 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011783-1 | NY | Primary |
Addresses
Primary practice location
6000 Meadowbrook Mall CT Ste 3a
Clemmons, NC 27012-8775
Mailing address
3868 E Robinson Rd
Amherst, NY 14228-2001
Phone (716) 564-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6000 Meadowbrook Mall CT
Suite 3a
Clemmons, NC 27012-8775
Phone (336) 893-5662
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4969 | NC | MD | Mental Health Counselor |
| X011783-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back 2 Back Chiropractic Group LLC | Chiropractor | Current | Accepting new patients |
| Stagecoach Family Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Jamestown Spine, LLC | Chiropractor | Past | Accepting new patients |
| Adam Bowman D.C., P.C. | Chiropractor | Past | Accepting new patients |
Locations
6000 Meadowbrook Mall Ct
Ste 3A
Clemmons, NC 27012
Phone (336) 893-5662
6000 Meadowbrook Mall Ct
Ste 3
Clemmons, NC 27012
206 Joe Knox Ave
Ste C
Mooresville, NC 28117
Phone (704) 765-6033
Organizations & group practices 4
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.
-
dba Crossroads Chiropractic
- Chiropractor
- Clemmons, NC
- NPI 1104218536
-
- Chiropractor
- Mooresville, NC
- NPI 1962560284
-
- Chiropractor
- Jamestown, NY
- NPI 1073075271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1578890356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3868 E ROBINSON RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142282001",
"telephone_number": "716-564-2225",
"fax_number": "866-907-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 MEADOWBROOK MALL CT STE 3A",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128775",
"telephone_number": "363-893-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ANDREW",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-16",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011783-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.