David Michael Green, MD
Student in an Organized Health Care Education/Training Program in Moultrie, GA. Individual provider (NPI-1).
Details
- NPI
- 1225830896
- Entity type
- Individual (NPI-1)
- Name
- David Michael Green
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2025
- Certification date
- Mar 24, 2025
- Last updated
- Mar 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3131 S Main StMoultrie, GA 31768-6925
Phone 229-502-9753
Mailing address
3131 S Main StMoultrie, GA 31768-6925
Phone 229-502-9753
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 27 Student in an Organized Health Care Education/Training Program providers in Moultrie · All 611 providers in Moultrie
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