Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730257981 Individual Practitioner Male Practitioner

Michael Alan Green , PA-C

Physician Assistant • Lady Lake, FL

Professional Overview & Biography Verified Profile Summary

Michael Green, PA-C is a registered healthcare professional specializing in Physician Assistant in Lady Lake, FL. Practice services are available at 630 GRIFFIN AVE under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

630 Griffin Ave

Lady Lake, FL 321598101

Telephone 8722313162
Associated Practice Facility / Clinic
🏢 Lady Lake Nh, Llc Facility NPI 1326043050

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lady Lake, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
14 Specialists

Practicing in Lady Lake, FL (10376 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
17 17 $373.41 $109.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
17 12 $214.41 $65.67

Medical Specialties & State Licenses

CMS Verified: 2025-11-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9109683

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
1730257981 (TX)

Secondary Practice Locations

700 N Palmetto St

Leesburg, FL 347484419

Phone: 8722313162

Practice Associates & Co-Workers

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

40 Associated Practitioners
Emily Smith , PA

Physician Assistant

NPI 1003232612

Physician Assistant

Dr. Jessica Bloomgarden , MD

Physical Medicine & Rehabilitation

NPI 1013158427

Doctor of Medicine (M.D.)

Rajdeep Sandhu , FNP-C

Nurse Practitioner - Family

NPI 1013473073

Family Nurse Practitioner (Certified)

Lyncee Barrett , FNP

Nurse Practitioner - Family

NPI 1013483296

Family Nurse Practitioner

Dr. Allison Williams , MD

Physical Medicine & Rehabilitation

NPI 1013967066

Doctor of Medicine (M.D.)

Arpit Kaul

Physical Medicine & Rehabilitation

NPI 1023452430

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location November 21, 2025

Registered at 630 GRIFFIN AVE, LADY LAKE, FL 321598101 (Tel: 8722313162)

📍
Updated Business Mailing Address November 21, 2025

Registered at PO BOX 22239, NEW YORK, NY 100870001 (Tel: 7028990595)

📍
Updated Practice Location May 13, 2024

Registered at 1720 SE 16TH AVE STE 303, OCALA, FL 344714620 (Tel: 3523690288)

📍
Updated Practice Location June 26, 2023

Registered at 1511 SW 1ST AVE, OCALA, FL 344714461 (Tel: 3526291378)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2023

Physician Assistant (License #PA9109683 in FL)

📍
Updated Practice Location September 26, 2019

Registered at 1500 SE MAGNOLIA EXT STE 203, OCALA, FL 344714461 (Tel: 3526291378)

📍
Updated Business Mailing Address September 26, 2019

Registered at 1500 SE MAGNOLIA EXT STE 203, OCALA, FL 344714461 (Tel: 3526291378)

NPI Profile Active July 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2014

Registered at 1720 MURCHISON DR, EL PASO, TX 799022921 (Tel: 9155337464)

📍
Updated Business Mailing Address July 29, 2014

Registered at 1720 MURCHISON DR, EL PASO, TX 799022921 (Tel: 9155341319)

👤
Provider Name / Credentials Updated July 29, 2014

Recorded as MICHAEL GREEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2014

Physician Assistant (License #PA05389 in TX)

🟢
Initial NPI Registration & Enumeration December 04, 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: 1730257981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: November 21, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 22239

New York, NY 100870001

Phone: 7028990595

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.