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

GRAHAM GREEN DO
NPI 1619733839
General Practice in Jacsonville, NC

Active since February 26, 2024
BUILDING AS4021 CANAL ST, JACSONVILLE, NC 28540(910) 449-6500 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Graham Green Do NPPES

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

GRAHAM GREEN DO (NPI 1619733839) is an individual general practice provider in Jacsonville, North Carolina, licensed in Virginia (0102209476) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1619733839
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameGRAHAM GREENCredential: DO
Location AddressBUILDING AS4021 CANAL STJacsonville, NC 28540
Mailing AddressBuilding As4021 Canal StJacsonville, NC 28540 · (910) 449-6500
Sole ProprietorNo
Enumeration DateFebruary 26, 2024
Last NPPES UpdateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
NPI 1619733839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0102209476
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
BUILDING AS4021 CANAL ST, Jacsonville, NC 28540

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 Graham Green's NPI number?

The NPI number for Graham Green is 1619733839. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Graham Green located?

Graham Green practices at Building As4021 Canal St, Jacsonville, NC 28540. The listed phone number is (910) 449-6500.

What is Graham Green's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Graham Green was last updated on August 21, 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.