DR. MARK ELLISON GREEN M.D. NPI 1154395044

NPI Information

  • NPI: 1154395044
  • Provider Name: DR. MARK ELLISON GREEN, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 365 BMH PHYSICIANS OFFICE BLDG
    MARYVILLE, TN
    ZIP 37804
  • Phone: (865) 980-5360

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NPI Details

DR. Mark Ellison Green, M.D. is an internal medicine in Maryville, TN with 39 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Mark Ellison Green, M.D. NPI is 1154395044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

365 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN
ZIP 37804-820
Phone: (865) 980-5360
Fax: (865) 980-5356

The NPI 1154395044 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Follow-up observation care per day, typically 35 minutes (HCPCS:99226)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Hospital observation care on day of discharge (HCPCS:99217)

The enumeration date for this NPI number is 2/15/2006 and was last updated on 10/27/2025.

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
1208M00000XHospitalistMD0000017438TENNESSEENo
2207R00000XInternal MedicineMD0000017438TENNESSEEYes

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
11526169MEDICAIDTENNESSEE

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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