DR. DANIEL JOSEPH GREEN (NPI# 1336130111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336130111 |
| Entity Type | Individual |
| Full Name | DR. DANIEL JOSEPH GREEN |
| Credential | M.D. |
| Practice Address |
865 S 1st St Jesup GA 31545-0210 |
| Practice Telephone | 9125303176 |
| Mailing Telephone | 9125303176 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2016-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 53230 | GA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 053230 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053940098 | Daniel Green | Social Worker | 100 Oceangate Ste 610, Long Beach, CA 90802-4365 | 2020-04-02 |
| 1972959674 | Daniel Green | Dentist | 4359 Keystone Dr, Maumee, OH 43537-8709 | 2016-05-11 |
| 1861731200 | Daniel Green | Technician, Other | 1609 Tarleton St, Spring Valley, CA 91977-3741 | 2013-02-05 |
| 1609135573 | Daniel A Green | Pathology | 622 W 168th St Dept Of, New York, NY 10032-3720 | 2012-05-11 |
| 1699048108 | Daniel Cameron Green | Rehabilitation Practitioner | 8168 Anchor Point Dr, Reno, NV 89506-3109 | 2012-02-14 |
| 1790929230 | Daniel R Green | Internal Medicine | Upstate Cardiology, 2 Innovation Drive, Ste 400, Greenville, SC 29607-5270 | 2009-04-28 |
| 1932342094 | Daniel Luther Green IIi | Military Health Care Provider | 1 Norad Rd, Colorado Springs, CO 80914-6001 | 2009-04-19 |
| 1447454988 | Daniel James Green | Dentist | Pa Route 313, Suite 105, Fountainville, PA 18923-0175 | 2007-06-11 |
| 1790716660 | Daniel Green | Emergency Medicine | 3101 Sw 62 Avenue, Miami, FL 33155 | 2006-07-06 |
| 1508835372 | Daniel Green | Obstetrics & Gynecology | 15709 Yeoho Rd, Sparks, MD 21152-9620 | 2006-03-15 |
| Street Address |
865 S 1ST ST |
| City | JESUP |
| State | GA |
| Zip Code | 31545-0210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770578999 | Hospital Authority of Wayne County, Georgia | General Acute Care Hospital | 865 S 1st St, Jesup, GA 31545-0210 | 2005-09-14 |
| 1205457264 | Beth A Lewis | Nurse Practitioner | 865 S 1st St, Jesup, GA 31545-0210 | 2020-04-30 |
| 1295378313 | Antwan Lajunne Baker | Clinical Nurse Specialist | 865 S 1st St, Jesup, GA 31545-0210 | 2019-10-21 |
| 1285285452 | Shamrock Anesthesia Associates PC | Anesthesiology | 865 S 1st St, Jesup, GA 31545-0210 | 2019-09-27 |
| 1811548084 | Wayne County Anesthesia Associates PC | Anesthesiology | 865 S 1st St, Jesup, GA 31545-0210 | 2019-09-27 |
| 1104280668 | Krystal V Garcia | Emergency Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2016-04-11 |
| 1649650656 | Wayne Memorial Hospital Pharmacy Retail | General Acute Care Hospital | 865 S 1st St, Jesup, GA 31545-0210 | 2015-06-04 |
| 1396140497 | Advanced Medical Resources of Wayne County, LLC | Internal Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2014-10-31 |
| 1073864625 | Elisha Marchette Dansby | Nurse Practitioner | 865 S 1st St, Jesup, GA 31545-0210 | 2012-09-23 |
| 1912256892 | Shenique Anderson | Family Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2012-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386201333 | People's Memorial Hospital | Family Medicine | 211 South Street West, Jesup, IA 50648 | 2019-05-24 |
| 1659676989 | Golden Isles Family Practice | Family Medicine | 142 S Brunswick St, Jesup, GA 31546-4668 | 2011-01-18 |
| 1841204377 | Kevin T Brown | Family Medicine | 1249 S 1st St, Jesup, GA 31545-7729 | 2006-07-28 |
| 1285696112 | Jeffrey L. Harris, Md, PC | Family Medicine | 371 Peachtree St, Jesup, GA 31545-0245 | 2006-04-05 |
| 1285695338 | Dorothy Karen Nelder | Family Medicine | 930 S 1st St, Jesup, GA 31545 | 2006-03-29 |
| 1306838974 | William V. Headley Jr. | Family Medicine | 825 S 1st St, Jesup, GA 31545-0209 | 2005-08-18 |
| 1083606800 | Kevin O. Keown | Family Medicine | 330 Peachtree St, Jesup, GA 31545-0244 | 2005-08-18 |
| 1205832227 | Randy Lentz | Family Medicine | 182 Sunset Blvd, Jesup, GA 31545-0401 | 2005-06-23 |
| 1003449968 | Lentz Urgent Care & Family Med, Inc | Family Medicine | 182 Sunset Blvd, Jesup, GA 31545-0401 | 2020-02-19 |
| 1952870487 | Southern Family Medicine, LLC | Family Medicine | 999 S Macon St, Jesup, GA 31545-0240 | 2018-11-14 |
| Find all providers in JESUP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.