Linda Haynie Green, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C-4828 Issued in AR

Practice address

4103 Stemley Bridge Rd
Pell City, AL 35128-7519

Phone

(205) 338-7662

Fax

(205) 884-8862

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1699725671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 STEMLEY BRIDGE RD",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351287519",
            "telephone_number": "205-338-7662",
            "fax_number": "205-884-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 STEMLEY BRIDGE RD",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351287519",
            "telephone_number": "205-338-7662",
            "fax_number": "205-884-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LINDA",
        "middle_name": "HAYNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AL",
            "license": "26919",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C-4828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630412147",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630400147",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630408147",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630410147",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannan T Garvey, CRNA
• Channing Eden Glenn
• Grace Pain & Wellness Inc
• Alexis Grant, PA-C
• Kaley Green, CRNP
• Raven Victoria Green
• Mallori Mays Gremmels, OTR/L
• Janet White Griebel, MA CCC-SLP
• Grove Counseling LLC
• Charlotte Alice Haley, MD

• Internal Medicine Physician in Pell City, AL
• Providers in Pell City, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.