DR. DANIEL JOSEPH GREEN (M.D.) – Family Medicine Physician, NPI 1336130111

DR. DANIEL JOSEPH GREEN (M.D.) is a healthcare provider. based in Jesup, Georgia. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 053230 (GA). The NPI Number for DR. DANIEL JOSEPH GREEN (M.D.) is 1336130111

Main info

Male
Sole Proprietor
25 Years Of Experience
Name
DR. DANIEL JOSEPH GREEN (M.D.)
NPI
1336130111
Phone
(912) 530-3176
Address
865 S 1ST ST
Enumeration Date
2 November 2005
Last Update Date
22 August 2016

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9123699400
Graduation Year
2001 (25 years ago)
PAC ID
4385643477
Group Practice PAC ID
9537461538
Professional Enrollment ID
I20061219000427
Address ID
GA313134000HI462XXPKWY500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. DANIEL JOSEPH GREEN (M.D.)

  • 865, 1st Street, Jesup, Buchanan County, Iowa, 50648, United States

    JESUP, GA 315450210

    Phone: (912) 530-3176

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: ABBVIE INC. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$22
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061219000427IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making175161$0
99284Emergency department visit with moderate level of medical decision making111104$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8176$0
99291Critical care, first 30-74 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 31545)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537461538View full group profile
NameSpecialtyState
General PracticeGA
Physician AssistantGA
Emergency MedicineGA
Emergency Medicine, Family PracticeGA
Emergency MedicineGA
Emergency MedicineGA
-GA
-FL
Emergency MedicineGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What number should I use to identify DR. DANIEL JOSEPH GREEN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1336130111 for DR. DANIEL JOSEPH GREEN (M.D.).
Does the public listing show DR. DANIEL JOSEPH GREEN (M.D.) as active?
DR. DANIEL JOSEPH GREEN (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. DANIEL JOSEPH GREEN (M.D.) provide?
DR. DANIEL JOSEPH GREEN (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DANIEL JOSEPH GREEN (M.D.)?
DR. DANIEL JOSEPH GREEN (M.D.) shows a connection to Jesup, Georgia in registry-derived data.
Why is information missing for DR. DANIEL JOSEPH GREEN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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