Johnny Richard Green Jr., DO
Internal Medicine Physician · Oxford, MS
Practice location
81 Ed Perry Blvd Ste 107Oxford, MS 38655-3465
- Phone
- (662) 636-5290
NPI record
- NPI
- 1851979983
- Entity type
- Individual (Type 1)
- Enumeration date
- March 30, 2021
- Last updated
- March 14, 2025
- Certified
- March 14, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Physician Primary | 207R00000X |
33279 | MS |
| Internal Medicine Physician | 207R00000X |
T-4329 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
Mailing address
965 Ridge Lake BlvdMemphis, TN 38120-9401
- Phone
- (901) 227-4692
About Dr. Green
Johnny Richard Green Jr., DO is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 81 Ed Perry Blvd Ste 107, Oxford, MS 38655-3465. The NPI number 1851979983 was assigned on March 30, 2021 and the record was last updated on March 14, 2025.
Dr. Green lists 2 licenses in the registry: #33279 (MS) for Internal Medicine Physician; #T-4329 (TN) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Johnny Richard Green Jr., DO?
The NPI number is 1851979983.
What is the phone number of Dr. Green?
The phone number listed for the practice location is (662) 636-5290.
Where is Dr. Green located?
81 Ed Perry Blvd Ste 107, Oxford, MS 38655-3465.
What is the taxonomy code for Dr. Green?
The primary taxonomy code is 207R00000X – Internal Medicine Physician; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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