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CARNELL GREEN JR
NPI 1972315596
Physician Assistant in Terre Haute, IN

Active since January 21, 2025
567 N 5TH ST, TERRE HAUTE, IN 47809(812) 237-3632 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Carnell Green Jr NPPES

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

CARNELL GREEN JR (NPI 1972315596) is an individual physician assistant in Terre Haute, Indiana and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1972315596
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCARNELL GREEN JR
Location Address567 N 5TH STTerre Haute, IN 47809-1903
Mailing Address805 Granite LnConway, AR 72034-3513 · (501) 580-6676
Phone(812) 237-3632
Sole ProprietorYes
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1972315596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
567 N 5TH ST, Terre Haute, IN 47809
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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.

JAVANNA SEMMA
Physician Assistant
567 N 5TH ST
TERRE HAUTE, IN 47809
Vigo County (248) 308-8469
SHANNAN ROWE ATC
Specialist/Technologist (Athletic Trainer)
567 N 5TH ST
TERRE HAUTE, IN 47809
Vigo County (916) 201-1947
BRYNNA KATHRYN BOWMAN
Student in an Organized Health Care Education/Training Program
567 N 5TH ST
TERRE HAUTE, IN 47809
Vigo County (812) 237-9613
ISABELLA WILLITZER
Physician Assistant
567 N 5TH ST
TERRE HAUTE, IN 47809
Vigo County (812) 237-3632
CAITLYN ERICA ALBEOS
Physician Assistant
567 N 5TH ST
TERRE HAUTE, IN 47809
Vigo County (203) 807-6091
LEAH MARIE ELLERMANN
Physician Assistant
567 N 5TH ST
TERRE HAUTE, IN 47809
Vigo County (812) 890-4847
DR. KENNETH ERIC GAMES PHD, ATC
Specialist/Technologist (Athletic Trainer)
567 N 5TH ST, ROOM 254
TERRE HAUTE, IN 47809
Vigo County (812) 237-3961
DR. JUSTIN MICHAEL APPLEGATE PT
Physical Therapist
567 N 5TH ST
TERRE HAUTE, IN 47809
Vigo County (812) 237-9613

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 Carnell Green Jr's NPI number?

The NPI number for Carnell Green Jr is 1972315596. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Where is Carnell Green Jr located?

Carnell Green Jr practices at 567 N 5th St, Terre Haute, IN 47809. The listed phone number is (812) 237-3632.

What is Carnell Green Jr's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Carnell Green Jr was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.