Green Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0000000110 Issued in TN

Legal business name

GREEN SURGERY CENTER LLC

Practice address

854 Lone Oak Dr Ste 110
Gallatin, TN 37066-6859

Phone

(615) 452-1602

Fax

(615) 451-0139

NPI assigned

Sep 7, 2006

Last updated

Sep 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Edward Green, MDNPI 1053414581

Title

Owner

Phone

(615) 452-1602

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Green Surgery Center LLCCCN 44C0001102

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael E Green, MD

  • Ophthalmology Physician
  • Gallatin, TN
  • NPI 1053414581
  Authorized official Same address or phone
• Tammy Lynn Baergen-White, RN

  • Administrator Registered Nurse
  • West Palm Beach, FL
  • NPI 1306232780
  NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1811090350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306554",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306554",
            "telephone_number": "615-452-1602",
            "fax_number": "615-451-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 LONE OAK DR STE 110",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666859",
            "telephone_number": "615-452-1602",
            "fax_number": "615-451-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-452-1602",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "3158726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3158726",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3288441",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "490004734",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8356899",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7957161",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Gray-Winnett, PHARMD
• Deborah Pearson Gray, APN
• Mary Catherine Gray
• Greater Nashville Health Institute LLC
• Green Optical
• Becky Ann Green
• Danielle Green
• Donald Green, SLP-CCC
• Michael E Green, MD
• Miranda Annette Green, FNP-C

• Ambulatory Surgical Clinic/Center in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.

Verify at the official NPI Registry.