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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.

GREEN SPORTS MEDICINE INC
NPI 1396210563
Family Medicine - Sports Medicine in Clovis, CA

Active since October 03, 2018
2021 HERNDON AVE STE 201, CLOVIS, CA 93611(559) 981-5566(559) 228-9989 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Nov 18, 2019, Oct 29, 2019 and 2 more (5 updates tracked since 2018).

About Green Sports Medicine Inc NPPES

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

GREEN SPORTS MEDICINE INC (NPI 1396210563), doing business as Green Sports Medicine, Inc., is a healthcare organization registered as a sports medicine in Clovis, California and active in the NPI registry since October 2018. The organization lists Erick Green, Md, as its authorized official.

NPPES Registry Identity

NPI1396210563
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameGREEN SPORTS MEDICINE INC
Location Address2021 HERNDON AVE STE 201Clovis, CA 93611-6101
Mailing Address7471 N Fresno StFresno, CA 93720-2457 · (559) 981-5566 · Fax (559) 228-9989
Phone(559) 981-5566
Fax(559) 228-9989
Organization SubpartNo
Authorized OfficialErick GreenMd · (559) 813-3005
Enumeration DateOctober 3, 2018
Last NPPES UpdateSeptember 23, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1396210563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
2021 HERNDON AVE STE 201, Clovis, CA 93611
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Other Names 1

Doing Business AsGreen Sports Medicine, Inc.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Green Sports Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Green Sports Medicine Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Erick Green, MD
General Practice
NPI 1821371022
2021 HERNDON AVE # 101
Clovis, CA 93611
(559) 797-4315
✔ PECOSSame address

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

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 Green Sports Medicine Inc's NPI number?

The NPI number for Green Sports Medicine Inc is 1396210563. It was assigned to this organization in the NPPES registry on October 3, 2018. The provider is doing business as Green Sports Medicine, Inc..

Where is Green Sports Medicine Inc located?

Green Sports Medicine Inc is located at 2021 Herndon Ave Ste 201, Clovis, CA 93611. The listed phone number is (559) 981-5566.

What is Green Sports Medicine Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Green Sports Medicine Inc enrolled in Medicare?

Yes. Green Sports Medicine Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Green Sports Medicine Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Green Sports Medicine Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Green Sports Medicine Inc was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 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.