Active NPI
Robert Adam Green
- Certified Registered Nurse Anesthetist
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 31768
- Practice address
- 2720 Sunset Blvd
West Columbia, SC 29169-4810 - Phone
- (803) 935-8538
- Fax
- (803) 791-2660
- NPI assigned
- Apr 27, 2013
- Last updated
- May 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R079312 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | 2013012833 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 31768 | SC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 28221931A | IN |
Addresses
Primary practice location
2720 Sunset Blvd
West Columbia, SC 29169-4810
Mailing address
879 Northwich Ave
Westfield, IN 46074-3344
Phone (870) 926-5519
Other practice location 1
879 Northwich Ave
Westfield, IN 46074-3344
Phone (870) 926-5519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201302760 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgreen201104@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, SC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460
811 W Main St
Lexington, SC 29072-2500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.61 of 100
- Quality
- 76.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R079312 | AR | MD | Registered Nurse |
| 2013012833 | MO | MD | Certified Registered Nurse Anesthetist |
| 31768 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Surgery One Anesthesia, LLC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Shadeland Anesthesia & Pain Associates Inc. | Current | Accepting new patients | |
| Shadeland Anesthesia & Pain Associates Inc. | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Jebs Anesthesia Consultants, LLC | Current | Accepting new patients | |
| Aas Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
29943 Network Pl
Chicago, IL 60673
151 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1100
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000
5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551
5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203
7747 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-9104
8805 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (317) 571-5000
1601 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5696
3738 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 807-2780
3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
Interoperability endpoints
- rgreen201104@direct.lexmed.com
Organizations & group practices 9
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.
-
dba Lexington Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- Anesthesiology Physician
- Novi, MI
- NPI 1831827021
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- La Porte, IN
- NPI 1790447761
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1043561541
IN, Nurse Anesthetist, Certified Registered
-
dba Center for Pain Management
- Interventional Pain Medicine Physician
- Indianapolis, IN
- NPI 1477589000
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1144724402
-
dba Center for Pain Management
- Durable Medical Equipment & Medical Supplies
- Brownsburg, IN
- NPI 1376429555
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1952745499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "879 NORTHWICH AVE",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460743344",
"telephone_number": "870-926-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694810",
"telephone_number": "803-935-8538",
"fax_number": "803-791-2660"
}
],
"practiceLocations": [
{
"address_1": "879 Northwich Ave",
"address_purpose": "LOCATION",
"city": "Westfield",
"state": "IN",
"postal_code": "460743344",
"country_code": "US",
"telephone_number": "870-926-5519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "ROBERT",
"middle_name": "ADAM",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-27",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R079312",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2013012833",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "31768",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28221931A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201302760",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgreen201104@direct.lexmed.com",
"affiliation": "N",
"address_1": "2720 Sunset Blvd",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.