JUSTIN JERMAINE GREEN HAIR LOSS SPECIALIST
NPI 1770069684
Specialist - Prosthetics Case Management in Memphis, TN

Q: What is Justin Green's NPI number?

The NPI number for Justin Green is 1770069684. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Q: What is Justin Green's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

Q: When was this NPI record last updated?

The NPPES record for Justin Green was last updated on July 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 13, 2018

4412 ELVIS PRESLEY BLVD, MEMPHIS, TN 38116(901) 830-9256 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Justin Jermaine Green Hair Loss Specialist NPPES

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

JUSTIN JERMAINE GREEN HAIR LOSS SPECIALIST (NPI 1770069684) is an individual prosthetics case management provider in Memphis, Tennessee, licensed in Tennessee (126818) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1770069684

Entity TypeIndividualMale

Primary Taxonomy1744P3200X

Provider Legal NameJUSTIN JERMAINE GREENCredential: HAIR LOSS SPECIALIST

Location Address4412 ELVIS PRESLEY BLVDMemphis, TN 38116-6408

Mailing Address436 Clarice DrMemphis, TN 38109-4626 · (901) 830-9256

Phone(901) 830-9256

Sole ProprietorYes

Enumeration DateJuly 13, 2018

✔ NPI 1770069684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers

Taxonomy Code1744P3200X

License✔ Licensed in TN · 126818

Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

4412 ELVIS PRESLEY BLVD, Memphis, TN 38116

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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

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 Justin Green's NPI number?

The NPI number for Justin Green is 1770069684. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Justin Green located?

Justin Green practices at 4412 Elvis Presley Blvd, Memphis, TN 38116. The listed phone number is (901) 830-9256.

What is Justin Green's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Justin Green was last updated on July 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.