BENNY J GREEN MD PA
NPI 1043246168
Family Medicine in Little Rock, AR
About Benny J Green Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENNY J GREEN MD PA (NPI 1043246168) is a healthcare organization registered as a family medicine in Little Rock, Arkansas and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 3, 2027 and lists Sherry L Morshedi, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benny J Green Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Benny J Green MD PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 04D0716907
Benny J Green MD PA · Little Rock, ARFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benny J Green MD PA's NPI number?
The NPI number for Benny J Green MD PA is 1043246168. It was assigned to this organization in the NPPES registry on June 23, 2006.
Where is Benny J Green MD PA located?
Benny J Green MD PA is located at 14309 Cantrell Rd Ste 7, Little Rock, AR 72223. The listed phone number is (501) 224-6727.
What is Benny J Green MD PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Benny J Green MD PA enrolled in Medicare?
Yes. Benny J Green MD PA is registered in the Medicare PECOS enrollment system.
When is Benny J Green MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Benny J Green MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Benny J Green MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Benny J Green MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 04D0716907) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Benny J Green MD PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Benny J Green MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Benny J Green MD PA was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Benny J Green Md Pa · NPI 1043246168
Family Medicine organization in Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1043246168 (Entity type: Organization)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Sherry Morshedi, PRACTICE MANAGER
## Practice location
- **Address:** 14309 CANTRELL RD, STE 7, Little Rock, AR 72223
- **Phone:** (501) 224-6727 · **Fax:** (501) 224-0674
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2016
- **Other identifiers:** Other CD8533; Medicare PIN 5B237 (AR); Medicaid 122497002 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043246168) · Data from the CMS NPPES public registry.