JERRIL GREEN MD
NPI 1457441016
Pediatrics - Pediatric Critical Care Medicine in Little Rock, AR

Q: What is Jerril Green's NPI number?

The NPI number for Jerril Green is 1457441016. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Jerril Green's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jerril Green was last updated on November 12, 2014. 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.

Active since October 13, 2006

14319 SAINT MICHAEL DR, LITTLE ROCK, AR 72211(501) 590-2885 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jerril Green Md NPPES

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

JERRIL GREEN MD (NPI 1457441016) is an individual pediatric critical care medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-1961) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1457441016

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameJERRIL GREENCredential: MD

Location Address14319 SAINT MICHAEL DRLittle Rock, AR 72211-5572

Mailing Address14319 Saint Michael DrLittle Rock, AR 72211-5572 · (501) 590-2885

Phone(501) 590-2885

Sole ProprietorYes

Enumeration DateOctober 13, 2006

Last NPPES UpdateNovember 12, 2014

✔ NPI 1457441016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in AR · E-1961

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

14319 SAINT MICHAEL DR, Little Rock, AR 72211

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Other Identifiers 3

Medicare UPINE48222

Medicaid135223001AR

Medicare PIN5K946

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 Jerril Green's NPI number?

The NPI number for Jerril Green is 1457441016. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Jerril Green located?

Jerril Green practices at 14319 Saint Michael Dr, Little Rock, AR 72211. The listed phone number is (501) 590-2885.

What is Jerril Green's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Jerril Green was last updated on November 12, 2014. 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.