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

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: October 18, 2026.

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
Open in Google Maps ↗

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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Roderick Green reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Mississippi - University Of Mississippi Medical Center
Same address
General Acute Care Hospital
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1154317527 (601) 984-1000
Precise Clinical Neuroscience Specialists
4.4 mi
Psychiatry
3531 LAKELAND DR STE 1060
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 54 clinicians in this Medicare group
NPI 1770717449 (601) 420-7010
Region Xii Commission
75 mi
General Practice
934 WEST DR
Laurel, MS 39440
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Region 12 Commission On Mental Health & Retardation Pine Belt Men
  • 35 clinicians in this Medicare group
NPI 1467767988 (601) 426-7520

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

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 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.

Where is Roderick Green located?

Roderick Green practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 815-5815.

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.

Is Roderick Green enrolled in Medicare?

Yes. Roderick Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Roderick Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roderick Green reassigns Medicare benefits to 3 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Precise Clinical Neuroscience Specialists (Flowood, MS) and Region Xii Commission (Laurel, MS). Each 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 Roderick Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roderick Green accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Roderick Green 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.

Is Roderick Green affiliated with any hospitals?

According to CMS data, Roderick Green is affiliated with Merit Health Central.

When was this NPI record last updated?

The NPPES record for Roderick Green was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.