MR. TRAVIS LEE GREEN PA-C NPI 1285275925

NPI Information

NPI: 1285275925
Provider Name: MR. TRAVIS LEE GREEN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3443 DICKERSON PIKE STE 720
NASHVILLE, TN
ZIP 37207
Phone: (615) 320-0007
Get Directions

MR. Travis Lee Green, PA-C is a surgical physician assistant in Nashville, TN with 5 years of experience. MR. Travis Lee Green, PA-C NPI is 1285275925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3443 DICKERSON PIKE STE 720
NASHVILLE, TN
ZIP 37207-527
Phone: (615) 320-0007
Fax: (615) 526-6477

The NPI 1285275925 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 enumeration date for this NPI number is 10/3/2019 and was last updated on 10/28/2022.

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
1	363A00000X	Physician Assistant		024184	NEW YORK	No
2	363AM0700X	Physician Assistant	Medical	5086	TENNESSEE	No
3	363AS0400X	Physician Assistant	Surgical	5086	TENNESSEE	Yes

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: 4/28/2024

NPI Synchronization or Removal

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