DR. CAROLINA LEITE GREEN MD
NPI 1922703164
Student in an Organized Health Care Education/Training Program in Jackson, MI

Active since April 04, 2023PECOS EnrolledAccepts Medicare Assignment
205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Dec 9, 2025, Apr 4, 2023 (3 updates tracked since 2023).

About Dr. Carolina Leite Green Md NPPES

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

DR. CAROLINA LEITE GREEN MD (NPI 1922703164) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922703164
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. CAROLINA LEITE GREENCredential: MD
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing Address205 N East AveJackson, MI 49201-1753
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1922703164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
205 N EAST AVE, Jackson, MI 49201

Other Names 1

Former Name (1)Carolina Marques

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Carolina Leite Green Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820455355
PECOS Enrollment IDI20260223000314
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Nurse Practitioner (Acute Care)
205 N EAST AVE
JACKSON, MI 49201
Student in an Organized Health Care Education/Training Program
205 N EAST AVE
JACKSON, MI 49201
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Anesthesiology
205 N EAST AVE
JACKSON, MI 49201
Specialist/Technologist (Athletic Trainer)
205 N EAST AVE
JACKSON, MI 49201
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Dietitian, Registered
205 N EAST AVE, FOOTE HOSPITAL, NUTRITION SERVICES DEPT.
JACKSON, MI 49201

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 Carolina Green's NPI number?

The NPI number for Carolina Green is 1922703164. It was assigned to this individual provider in the NPPES registry on April 4, 2023. The provider is also known as Carolina Marques.

Where is Carolina Green located?

Carolina Green practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-4800.

What is Carolina Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carolina Green enrolled in Medicare?

Yes. Carolina Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carolina Green was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.