NPIMap

Individual provider Active NPI

Mark E Green, MD

  • Emergency Medicine Physician
  • Clarksville, TN
National Provider Identifier
1831138916
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17438 Issued in TN
Practice address
1771 Madison St
Clarksville, TN 37043-4990
Phone
(931) 552-6622
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17438 TN Primary

Addresses

Primary practice location

1771 Madison St
Clarksville, TN 37043-4990

Mailing address

1000 River Rd
Suite 100
Conshohocken, PA 19428-2439
Phone (800) 355-3818

Other identifiers 1

IdentifierTypeStateIssuer
3886218MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17438TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Kentucky Ed, PLLC Emergency Medicine PastSince Sep 4, 2014 Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Volunteer Medical Group, P.C. Emergency Medicine Past Accepting new patients
Emergency Physicians of Nashville, PLLC Emergency Medicine Past Accepting new patients
Coosa River Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
St Andrews Bay Emergency Physicians, PLLC Emergency Medicine PastSince Aug 29, 2012 Accepting new patients
Stoney Brook Emergency Physicians, PLLC Emergency Medicine PastSince Apr 28, 2013 Accepting new patients
Emergency Physicians of Hopkinsville PLLC Emergency Medicine Past Accepting new patients
Emergency Services Network, PLLC. Emergency Medicine Past Accepting new patients
Medical Observation Services LLC Emergency Medicine Past Accepting new patients
Emergency Physicians of Montgomery County, PLLC Emergency Medicine Past Accepting new patients
Caleb Creek Emergency Physicians, PLLC Emergency Medicine PastSince Dec 1, 2010 Accepting new patients
Caleb Creek Hospitalists PastSince Jul 1, 2012 Accepting new patients
Little River Emergency Physicians, PLLC Emergency Medicine PastSince Dec 13, 2011 Accepting new patients

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831138916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVER RD",
            "address_2": "SUITE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282439",
            "telephone_number": "800-355-3818",
            "fax_number": "610-834-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434990",
            "telephone_number": "931-552-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "17438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3886218",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.