DIANE ELAINE GREEN MD NPI 1538136148

NPI Information

  • NPI: 1538136148
  • Provider Name: DIANE ELAINE GREEN, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • Address: 708 W FOREST AVE
    JACKSON, TN
    ZIP 38301
  • Phone: (731) 660-8759

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NPI Details

Diane Elaine Green, MD is an anatomic pathology and clinical pathology pathology in Jackson, TN. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Diane Elaine Green, MD NPI is 1538136148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

708 W FOREST AVE
JACKSON, TN
ZIP 38301-901
Phone: (731) 660-8759

The enumeration date for this NPI number is 3/2/2006 and was last updated on 7/17/2009.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology13431TENNESSEEYes

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
13188085MEDICARE PINTENNESSEE
23188084MEDICARE PINTENNESSEE
3E54516MEDICARE UPINTENNESSEE
43067959OTHERBCBS
53188088MEDICARE PINTENNESSEE
6220016966OTHERRR MEDICARE
73188084MEDICAIDTENNESSEE
83188085MEDICAIDTENNESSEE
93188088MEDICAIDTENNESSEE

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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