EDWARD GREEN MD NPI 1073719803

NPI Information

  • NPI: 1073719803
  • Provider Name: EDWARD GREEN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 969 LAKELAND DR
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 200-6162

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NPI Details

Edward Green, MD is a diagnostic radiology radiology in Jackson, MS with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Edward Green, MD NPI is 1073719803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

969 LAKELAND DR
JACKSON, MS
ZIP 39216-606
Phone: (601) 200-6162

The NPI 1073719803 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Nuclear medicine study of lymphatic system (HCPCS:78195)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Nuclear medicine study, 1 area with spect (HCPCS:78803)
  • Nuclear medicine study of liver and bile duct system (HCPCS:78226)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Nuclear medicine study of stomach to assess emptying (HCPCS:78264)
  • Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan (HCPCS:78431)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Nuclear medicine study of lung circulation (HCPCS:78580)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Nuclear medicine study of parathyroid with spect (HCPCS:78071)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Nuclear medicine study of cerebrospinal fluid flow after injection of contrast into lower spine (HCPCS:78630)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of shoulder, 1 view (HCPCS:73020)

The enumeration date for this NPI number is 6/27/2007 and was last updated on 10/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology135313NORTH CAROLINANo
22085R0202XRadiologyDiagnostic Radiology17833MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1512I360002OTHERMISSISSIPPIPTAN
2179024MEDICAIDALABAMA
3P01195515OTHERMISSISSIPPIRAILROAD MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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