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MR. JAMES ELLIS GREEN MD
NPI 1871709840
General Practice in Gainesville, GA

Active since May 15, 2007Opted out of Medicare · through Mar 22, 2028
526 PEARL NIX PARKWAY, SUITE #103, GAINESVILLE, GA 30501(770) 535-7978(770) 535-8050 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. James Ellis Green Md NPPES

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

MR. JAMES ELLIS GREEN MD (NPI 1871709840) is an individual general practice provider in Gainesville, Georgia, licensed in Georgia (G027200) and active in the NPI registry since May 2007. He has opted out of Medicare through March 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871709840
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. JAMES ELLIS GREENCredential: MD
Location Address526 PEARL NIX PARKWAY, SUITE #103Gainesville, GA 30501
Mailing AddressPo Box 7970Gainesville, GA 30504 · (770) 535-7978 · Fax (770) 535-8050
Phone(770) 535-7978
Fax(770) 535-8050
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871709840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · G027200
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
526 PEARL NIX PARKWAY, Gainesville, GA 30501
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Other Identifiers 2

Medicare UPIND45476
MedicaidD0330448AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. James Ellis Green Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 22, 2016 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2016
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 James Green's NPI number?

The NPI number for James Green is 1871709840. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is James Green located?

James Green practices at 526 Pearl Nix Parkway Suite #103, Gainesville, GA 30501. The listed phone number is (770) 535-7978.

What is James Green's specialty?

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

Is James Green enrolled in Medicare?

No. James Green has opted out of Medicare through March 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for James Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.