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Deactivated NPI 1538108659 Deactivated / Inactive NPI Male Practitioner

Dr. E Jackson Green , MD

Internal Medicine • Mobile, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. E Green has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2006
NPI Deactivation Date December 11, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. E Green, MD was a registered Internal Medicine practicing in Mobile, AL. Throughout an active medical career spanning 12 years, Dr. Green provided care at the practice location at 1700 SPRINGHILL AVE until profile deactivation on 2018-12-11.

Practice Location & Contact Primary Location

Practice Address

1700 Springhill Ave
Suite 100

Mobile, AL 366041407

Telephone 2514351200
Fax 2514356357
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mobile, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
266 Specialists

Practicing in Mobile, AL (1784 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL 3466

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Damian Collins , MD

Internal Medicine

NPI 1003802885

Doctor of Medicine (M.D.)

Dr. Carmen Lopez , MD

Internal Medicine - Gastroenterology

NPI 1023549839

Doctor of Medicine (M.D.)

NPI 1073013389

ANRN, Family Nurse Practitioner (Certified)

Dr. John Yager , MD

Psychiatry & Neurology - Neurology

NPI 1083664056

Doctor of Medicine (M.D.)

Dr. Samuel Hooks , MD

Internal Medicine - Gastroenterology

NPI 1083669535

Doctor of Medicine (M.D.)

Lawanda Fantroy

Nurse Practitioner - Acute Care

NPI 1093272874

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 11, 2018

Record deactivated on December 11, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1700 SPRINGHILL AVE, SUITE 100, MOBILE, AL 366041407 (Tel: 2514351200)

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Updated Business Mailing Address July 08, 2007

Registered at 1700 SPRINGHILL AVE, SUITE 100, MOBILE, AL 366041407 (Tel: 2514351200)

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Provider Name / Credentials Updated July 08, 2007

Recorded as E GREEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #3466 in AL)

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Initial NPI Registration & Enumeration June 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538108659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2006
Last Update: July 08, 2007
Deactivation Date: December 11, 2018

Mailing Address

1700 Springhill Ave, Suite 100

Mobile, AL 366041407

Phone: 2514351200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.