Audrey Nicole Green, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

52274 Issued in SC

Practice address

350 Fording Island Rd Ste 100
Bluffton, SC 29910-5168

Phone

(843) 837-4400

Fax

(843) 837-4440

NPI assigned

Aug 8, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Mercer University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

May River DermatologyGroup PAC ID 8022156934, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIFHAA

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.

• May River Dermatology

  • Medical Specialty Clinic/Center
  • Bluffton, SC
  • NPI 1770723512
  Medicare reassignment Care Compare group NPD
• Trident Dermatology, PA

  • Dermatology Physician
  • Charleston, SC
  • NPI 1366404659
  Medicare reassignment NPD
• Alfredo J Brand MD PA

  • Dermatology Physician
  • Hilton Head Island, SC
  • NPI 1720278948
  NPD (past)
• Beaufort Eye Center P a

  • Ophthalmology Physician
  • Port Royal, SC
  • NPI 1639398472
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beaufort County Memorial Hospital

  • General Acute Care Hospital
  • Beaufort, SC
  • NPI 1366436073
  Care Compare affiliation

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1962834259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2330",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299102330",
            "telephone_number": "843-837-4400",
            "fax_number": "843-837-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FORDING ISLAND RD STE 100",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105168",
            "telephone_number": "843-837-4400",
            "fax_number": "843-837-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Arley Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104883",
            "country_code": "US",
            "telephone_number": "843-837-4400",
            "fax_number": "843-837-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Hospital Center Cmns Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299262841",
            "country_code": "US",
            "telephone_number": "843-837-4400",
            "fax_number": "843-837-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1813 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Port Royal",
            "state": "SC",
            "postal_code": "299352014",
            "country_code": "US",
            "telephone_number": "843-837-4400",
            "fax_number": "843-837-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Arley Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104301",
            "country_code": "US",
            "telephone_number": "843-837-4400 x74400",
            "fax_number": "843-837-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Arley Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104302",
            "country_code": "US",
            "telephone_number": "843-837-4400 x74400",
            "fax_number": "843-837-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AUDREY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "52274",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mattison Gower, D.M.D.
• Morgan Olivia Gracia
• Diana Grafft, MA/CCC-SLP
• Anne Marie Grantner
• Mary Grebe, COTA
• D'Mariea Lamar Caleb Green, OTD, OTR
• Jennifer Jacquelyn Green, APRN
• Mitchell Greene
• Deborah Grimm
• Mary Ellen Groff, APRN

• Dermatology Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.