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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. DWAYNE GREEN PS-A
NPI 1114697679
Counselor - Addiction (Substance Use Disorder) in Canton, OH

Active since September 16, 2021
800 MARKET AVE N STE 1500B, CANTON, OH 44702(234) 214-0469 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Sep 16, 2021 (2 updates tracked since 2021).

About Mr. Dwayne Green Ps-a NPPES

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

MR. DWAYNE GREEN PS-A (NPI 1114697679) is an individual addiction (substance use disorder) provider in Canton, Ohio and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1114697679
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DWAYNE GREENCredential: PS-A
Location Address800 MARKET AVE N STE 1500BCanton, OH 44702-2303
Mailing Address800 Market Ave N Ste 1500bCanton, OH 44702-2303
Phone(234) 214-0469
Sole ProprietorNo
Enumeration DateSeptember 16, 2021
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1114697679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
800 MARKET AVE N STE 1500B, Canton, OH 44702
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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 Dwayne Green's NPI number?

The NPI number for Dwayne Green is 1114697679. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Dwayne Green located?

Dwayne Green practices at 800 Market Ave N Ste 1500B, Canton, OH 44702. The listed phone number is (234) 214-0469.

What is Dwayne Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dwayne Green was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.