Individual provider Active NPI

Elton Benjamin Greene, M.D.

  • Neuroradiology Physician
  • Nashville, TN
National Provider Identifier
1649471780
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
49025 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-2523
Phone
(615) 322-3000
NPI assigned
May 29, 2007
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD0000049025 TN
Neuroradiology Physician 2085N0700X 49025 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-2523

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000

Other practice location 1

620 Hartsville Pike
Gallatin, TN 37066-2523
Phone (615) 452-9470

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address egreene649887@direct.vumc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121002000244 TN Practitioner - Diagnostic Radiology 8426207721 Reassigns benefits to 4 organizations
I20171127002756 KY Practitioner - Diagnostic Radiology 8426207721

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians
Vanderbilt Imaging Services LLCGroup PAC ID 2163417882, 119 clinicians
One Hundred Oaks Imaging LLCGroup PAC ID 1355490756, 118 clinicians

Practice addresses (Care Compare)

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

1909 Acklen Ave
Nashville, TN 37212-3713
Phone (615) 777-9729

719 Thompson LN
Suite 23300
Nashville, TN 37204-4686
Phone (615) 936-3606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49025TNMDNeuroradiology Physician
MD0000049025TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
One Hundred Oaks Imaging, LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Williamson Imaging, LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Vanderbilt University PastSince Oct 1, 2012 Accepting new patients
Tuhc Radiology Group LLC Diagnostic Radiology PastSince Aug 1, 2021 Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

Dept AT 40379
Atlanta, GA 31192

2009 Mallory Ln
Ste 150
Franklin, TN 37067
Phone (615) 771-8668

2105 Edward Curd Ln
Franklin, TN 37067
Phone (615) 791-7250

1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882

337 22nd Ave N
Nashville, TN 37203
Phone (615) 327-1500

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

4525 Harding Pike
Ste 102
Nashville, TN 37205
Phone (615) 463-3034

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

719 Thompson Ln
Ste 23300
Nashville, TN 37204
Phone (615) 936-3606

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

Interoperability endpoints

  • Direct secure messaging: egreene649887@direct.vumc.org
  • Direct secure messaging: elton.greene.1@16055.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1649471780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-936-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322523",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Hartsville Pike",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370662523",
            "country_code": "US",
            "telephone_number": "615-452-9470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ELTON",
        "middle_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD0000049025",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TN",
            "license": "49025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egreene649887@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372322523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.