Individual provider Active NPI

Mayer Green, DC, FNP-C

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1922203785
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R257074 Issued in MD
Practice address
11301 Amherst Ave
Ste 102
Silver Spring, MD 20902-4665
Phone
(301) 933-7827
Fax
(240) 290-0342
NPI assigned
Jun 20, 2007
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R257074 MD Primary
Chiropractor 111N00000X S03527 MD

Addresses

Primary practice location

11301 Amherst Ave
Ste 102
Silver Spring, MD 20902-4665

Mailing address

11301 Amherst Ave Ste 102
Silver Spring, MD 20902-4665
Phone (301) 933-7827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609000970 DC Practitioner - Nurse Practitioner 4082762125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

11301 Amherst Ave
Suite 102
Silver Spring, MD 20902-4665
Phone (301) 933-7827

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03527MDMDChiropractor
R257074MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince May 30, 2022 Accepting new patients
Privia Care Center LLC CurrentSince Jun 27, 2022 Accepting new patients
Privia Care Center LLC CurrentSince Jun 27, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince May 30, 2022 Accepting new patients
Pulmonologists, PC Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11301 Amherst Ave
Ste 102
Wheaton, MD 20902
Phone (301) 933-7827

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: mayer.green.1@8042.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1922203785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 AMHERST AVE STE 102",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024665",
            "telephone_number": "301-933-7827",
            "fax_number": "240-290-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 AMHERST AVE",
            "address_2": "STE 102",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024665",
            "telephone_number": "301-933-7827",
            "fax_number": "240-290-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MAYER",
        "name_prefix": "Dr.",
        "credential": "DC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R257074",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.