RODERICK GREEN PMHNP
NPI 1235472697
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS

Q: What is Roderick Green's NPI number?

The NPI number for Roderick Green is 1235472697. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Q: What is Roderick Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Roderick Green was last updated on July 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment

2500 N STATE ST, JACKSON, MS 39216(601) 815-5815(601) 984-5842 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Roderick Green Pmhnp NPPES

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

RODERICK GREEN PMHNP (NPI 1235472697) is an individual psychiatric/mental health provider in Jackson, Mississippi, licensed in Mississippi (R828349) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Merit Health Central, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1235472697

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameRODERICK GREENCredential: PMHNP

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5815 · Fax (601) 984-5842

Phone(601) 815-5815

Fax(601) 984-5842

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 3, 2013

Last NPPES UpdateJuly 29, 2015

✔ NPI 1235472697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MS · R828349

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 2

Medicaid09282029MS

Medicare PIN360705YJ5DMS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roderick Green Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810115029

PECOS Enrollment IDI20140902000316

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

259 services63 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

61 services52 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

39 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Merit Health Central

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipProprietary

CMS Certification Number250072

Location1850 Chadwick DrJackson, MS 39204 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)