Organization
MICHAEL E. GREEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BURTON (DIRECTOR)
(434) 661-7762
Entity
Organization
Contact information
Practice address
854 LONE OAK DR, GALLATIN, TN 37066-3694
(615) 452-1602
(615) 451-0139
Mailing address
854 LONE OAK DR, GALLATIN, TN 37066-3694
(615) 452-1602
(615) 451-0139
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0000025545
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191345
BLUE CROSS BLUE SHIELD OF
TN
01
—
0840119
UNITED HEALTH CARE
TN
01
—
180019007
MEDICARE RAILROAD
TN
01
—
2680132003
CIGNA COMMERCIAL
TN
01
—
3083540
MEDICARE PROVIDER ID - IN
TN
01
—
3373178
MEDICARE PROVIDER ID- GRO
TN
05
—
3373178
—
TN
01
—
4480107
AETNA
TN
01
—
F88358
UPIN
TN
01
—
NASH86608
PHCS
TN
Enumeration date
07/17/2007
Last updated
02/21/2026
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