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SANDY CHARLES GREEN JR. IDHS
NPI 1679369466
Military Health Care Provider - Independent Duty Corpsman in Portsmouth, VA

Active since April 17, 2025
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703(757) 483-8784 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandy Charles Green Jr. Idhs NPPES

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

SANDY CHARLES GREEN JR. IDHS (NPI 1679369466) is an individual independent duty corpsman provider in Portsmouth, Virginia and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1679369466
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameSANDY CHARLES GREEN JR.Credential: IDHS
Location Address4000 COAST GUARD BLVDPortsmouth, VA 23703-2135
Mailing Address4000 Coast Guard BlvdPortsmouth, VA 23703-2135
Phone(757) 483-8784
Sole ProprietorNo
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1679369466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
4000 COAST GUARD BLVD, Portsmouth, VA 23703
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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.

JUAN C ROBAYO PA-C
Physician Assistant
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 483-8596
MRS. REBECCA LEE DAVIS HS2
Military Health Care Provider
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 483-8597
STEWART WESLEY CALLOWAY
Technician, Other
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 638-6644
MR. ONEIL CLINTON LUE
Technician, Health Information
4000 COAST GUARD BLVD, CGC FORWARD
PORTSMOUTH, VA 23703
Portsmouth City (757) 483-8740
UNITED STATES COAST GUARD
Clinic/Center (Military/U.S. Coast Guard Outpatient)
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 483-5896
MATTHEW BRIAN GARCIA IDHS
Military Health Care Provider (Independent Duty Corpsman)
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (972) 765-8272
MRS. YOLANDA CHERRY MEDICAL ASSISTANT
Case Manager/Care Coordinator
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 686-6685
MEGAN ZIEGER LCSW
Social Worker (Clinical)
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 483-8424

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 Sandy Green's NPI number?

The NPI number for Sandy Green is 1679369466. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Sandy Green located?

Sandy Green practices at 4000 Coast Guard Blvd, Portsmouth, VA 23703. The listed phone number is (757) 483-8784.

What is Sandy Green's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Sandy Green was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.