MRS. REGINIQUE L GREEN M.D.
NPI 1952401044
Family Medicine in Memphis, TN

Q: What is Reginique Green's NPI number?

The NPI number for Reginique Green is 1952401044. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Reginique Green's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Reginique Green was last updated on March 17, 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 September 25, 2006PECOS EnrolledAccepts Medicare Assignment

5366 MENDENHALL MALL, MEMPHIS, TN 38115(901) 701-2500 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Jan 9, 2018 (2 updates tracked since 2018).

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About Mrs. Reginique L Green M.d. NPPES

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

MRS. REGINIQUE L GREEN M.D. (NPI 1952401044) is an individual family medicine provider in Memphis, Tennessee, licensed in Tennessee (48371) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Creighton University School Of Medicine (1994).

NPPES Registry Identity

NPI1952401044

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMRS. REGINIQUE L GREENCredential: M.D.

Location Address5366 MENDENHALL MALLMemphis, TN 38115-4505

Mailing Address2595 Central AveMemphis, TN 38104-5905 · (901) 260-8500 · Fax (901) 260-8598

Phone(901) 701-2500

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1994

Enumeration DateSeptember 25, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1952401044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TN · 48371✔ Licensed in OH · 35-74642

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5366 MENDENHALL MALL, Memphis, TN 38115

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Secondary Practice Location 1

Location 15220 Park Ave, Suite 100Memphis, TN 38119 · Phone (901) 685-8245 · Fax (901) 685-8248

Other Identifiers 1

Medicaid2104967OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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

Mrs. Reginique L Green M.d. 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 ID4284655705

PECOS Enrollment IDI20120427000560

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TESSA DENZIN PA

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