JOHN W. GREEN M.D.
NPI 1114082559
Family Medicine in Newberry, SC

Active since December 26, 2006
2562 KINARD ST, NEWBERRY, SC 29108(803) 276-6689 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John W. Green M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN W. GREEN M.D. (NPI 1114082559) is an individual family medicine provider in Newberry, South Carolina, licensed in South Carolina (8843) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1114082559
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN W. GREENCredential: M.D.
Location Address2562 KINARD STNewberry, SC 29108-2910
Mailing Address2562 Kinard StNewberry, SC 29108-2910 · (803) 276-6689
Sole ProprietorYes
Enumeration DateDecember 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114082559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 8843
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2562 KINARD ST, Newberry, SC 29108

Other Identifiers 3

Medicare ID-Type UnspecifiedD905200281SC
Medicaid088434SC
Medicare UPIND90520SC

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2562 KINARD ST
NEWBERRY, SC 29108
Clinic/Center (Primary Care)
2562 KINARD ST
NEWBERRY, SC 29108
Hospice Care, Community Based
2562 KINARD ST
NEWBERRY, SC 29108
Otolaryngology
2562 KINARD ST
NEWBERRY, SC 29108
Otolaryngology
2562 KINARD ST
NEWBERRY, SC 29108

Frequently 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 John Green's NPI number?

The NPI number for John Green is 1114082559. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is John Green located?

John Green practices at 2562 Kinard St, Newberry, SC 29108. The listed phone number is (803) 276-6689.

What is John Green's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.