GREEN SURGERY CENTER LLC NPI 1811090350

NPI Information

  • NPI: 1811090350
  • Provider Name: GREEN SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 44D0972384
  • Address: 854 LONE OAK DRIVE
    GALLATIN, TN
    ZIP 37066
  • Phone: (615) 452-1602

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NPI Details

GREEN SURGERY CENTER LLC is an ambulatory surgical clinic center in Gallatin, TN. GREEN SURGERY CENTER LLC NPI is 1811090350. The provider is registered as an organization entity type.

The provider's business location address is:

854 LONE OAK DRIVE
GALLATIN, TN
ZIP 37066
Phone: (615) 452-1602
Fax: (615) 451-0139

The provider's authorized official is Michael Edward Green .
The authorized official title is Owner and has the following contact phone number (615) 452-1602.

The CLIA number assigned to this NPI record is 44D0972384 - ambulatory surgery center with a certificate type of Certificate of Waiver.

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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)

The enumeration date for this NPI number is 9/7/2006 and was last updated on 11/18/2010.

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
1261QA1903XClinic/CenterAmbulatory Surgical0000000110TENNESSEEYes

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
13288441MEDICAIDTENNESSEE
23158726OTHERTENNESSEEBCBS
33158726OTHERTENNCARE SELECT
47957161OTHERAETNA
53288441MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
6490004734OTHERMEDICARE RAILROAD
78356899OTHERCIGNA

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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