Dale E Green, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

031926 Issued in GA

Practice address

1814 Westchester Dr
Suite 201
High Point, NC 27262-7299

Phone

(336) 802-2536

Fax

(336) 802-2534

NPI assigned

Sep 16, 2005

Last updated

Dec 7, 2012By 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 NC

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Broad River Area Medical and Aesthetics

  • Physician Assistant
  • Cliffside, NC
  • NPI 1568407534
  Medicare reassignment NPD
• Wake Forest Health Network LLC

  dba Atrium Health Wake Forest Baptist Pediatrics - Greensboro

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1477785756
  Medicare reassignment NPD
• Cornerstone Health Care PA

  dba Cornerstone Imaging at Brookview Hills

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1851578231
  NPD
• Wake Forest Health Network, LLC

  dba Atrium Health Levine Children's Pediatrics Northwest

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1053175299
  NPD
• Cornerstone Health Care PA

  • Cardiovascular Disease Physician
  • Statesville, NC
  • NPI 1275914046
  NPD (past)
• Wake Forest Health Network LLC

  dba Atrium Health Wake Forest Baptist Pulmonology - Westchester

  • Pulmonary Disease Physician
  • High Point, NC
  • NPI 1508987447
  NPD (past)
• Wake Forest Health Network, LLC

  dba Cornerstone Laboratory Services

  • Clinical Medical Laboratory
  • High Point, NC
  • NPI 1063453553

  Pulmonary Disease

  NPD (past)
• St. Mary's Hospital, Inc.

  dba St. Mary's Hospital

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1871556621
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1629063540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DR",
            "address_2": "SUITE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627008",
            "telephone_number": "336-802-2536",
            "fax_number": "704-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 WESTCHESTER DR",
            "address_2": "SUITE 201",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627299",
            "telephone_number": "336-802-2536",
            "fax_number": "336-802-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DALE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "031926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000397746A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Chilton Graves
• Matthew Jeremy Gray
• Everette Monroe Grayson, RPH
• Mickayla Diane Greagan, PA-C
• Angela Marie Green
• Davina Earlene Green, R.N.
• Maryann Daly Green, CRNA
• Christine J Greene, LPC 3885
• Eleanor Elaine Greene, M.D.
• Greensboro Spine and Scoliosis Center, PLLC (Spine and Scoliosis Specialists)

• Pulmonary Disease Physician in High Point, NC
• Providers in High Point, NC by specialty
• Pulmonary Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.