JIMMY W. GREEN MD – NPI #1174503494
Pathology

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.

JIMMY GREEN is a pathologist located in NORFOLK, VA. NPPES has assigned the NPI number 1174503494 to JIMMY GREEN on January 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was previously updated about 11 years ago on Dec 22, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JIMMY GREEN below.

NPI Profile for
JIMMY W. GREEN

NPI Number
1174503494
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JIMMY W. GREEN
Credentials
MD
Primary location
600 GRESHAM DR
NORFOLK, VA 23507-1904
Phone: (757) 388-3221 Fax: (757) 388-3799
Mailing address
PO BOX 20452
PSMG-CREDENTIALING
COLUMBUS, OH 43220-0452
Phone: (614) 442-2406 Fax: (614) 442-2410
Sole Proprietor
No
Updated
Identifiers

Identifiers for JIMMY GREEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICAREVAP00396483
MEDICAIDVA1174503494
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)
VA 0101-241204
207ZF0201X
- Pathology / Forensic Pathology
GA 026285

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.