MR. BRYAN S GREEN (PA-C) – Physician Assistant, NPI 1750311221

MR. BRYAN S GREEN (PA-C) is a healthcare provider. based in Loganville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4808 (GA). The NPI Number for MR. BRYAN S GREEN (PA-C) is 1750311221

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRYAN S GREEN (PA-C)
NPI
1750311221
Phone
(770) 554-5009
Address
3440 Highway 81
Enumeration Date
3 July 2006
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7065491663
Graduation Year
2006 (20 years ago)
PAC ID
9638174253
Group Practice PAC ID
5991600181
Professional Enrollment ID
I20061003000319
Address ID
GA306623911RO901XXSTXX400

Contacts

Secure Messaging
bryan.green.1@28045.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MR. BRYAN S GREEN (PA-C)

  • 3440 Highway 81

    Loganville, GA 300529112

    Phone: (770) 554-5009

    Fax: (706) 549-1663

    Type: Location

  • 125 King Ave

    Athens, GA 306066734

    Phone: (706) 549-1663

    Fax: (706) 546-8792

    Type: Location

  • 1553 Janmar Rd

    Snellville, GA 300785606

    Phone: (770) 554-5009

    Fax: (706) 546-8792

    Type: Location

  • Shellman, Randolph County, Georgia, 31786, United States

    SHELLMAN, GA 398860128

    Phone: (229) 329-3295

    Fax: (229) 679-2010

    Type: Mailing

  • Railroad Street, Shellman, Randolph County, Georgia, 31786, United States

    SHELLMAN, GA 398863100

    Phone: (229) 679-2100

    Fax: (229) 679-2010

    Type: Location

  • 1765 OLD WEST BROAD ST BLDG 2-200

    ATHENS, GA 306062887

    Phone: (706) 549-1663

    Fax: (706) 546-8792

    Type: Mailing

  • 1765 OLD WEST BROAD ST

    ATHENS, GA 306062853

    Phone: (706) 549-1663

    Fax: (706) 546-8792

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-10-03

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
I20061003000319IPhysician AssistantGATBD

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
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg3,36039$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1,364136$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg892184$0
99214Established patient office or other outpatient visit, 30-39 minutes466377$0
20610Aspiration and/or injection of fluid from large joint345186$0
View full utilization report →

Insurance plans in this area (ZIP 30052)

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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: 5991600181View full group profile
NameSpecialtyState
-GA
Occupational Therapist In Private PracticeGA
-GA
Physician AssistantGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Orthopedic SurgeryGA
Orthopedic SurgeryGA
-IL
-GA

Reviews

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Frequently asked questions

What is the standard ID for MR. BRYAN S GREEN (PA-C) in the U.S.?
In the U.S., MR. BRYAN S GREEN (PA-C) is identified by NPI 1750311221.
Is MR. BRYAN S GREEN (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MR. BRYAN S GREEN (PA-C) as active.
What services align with MR. BRYAN S GREEN (PA-C)'s listing?
MR. BRYAN S GREEN (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. BRYAN S GREEN (PA-C) tied to Loganville, Georgia?
If you are local to Loganville, Georgia, MR. BRYAN S GREEN (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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