NPI age
19 years
Enumerated 2007-05-01
● Active
Type 1 · Individual
DR. Clyde O. Green, MD
Green is 1 of 184 family medicine providers in MacOn and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-01-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
841 Mulberry St
MacOn, GA 312016756
Mailing address
841 Mulberry St
MacOn, GA 312016756
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Family MedicineA family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 157763300 | WORKER COMP |
| 01 (GA) | 324341 | WELLCARE |
| 01 (GA) | 508457 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 157763302 | WORKERS COMP |
| 05 (GA) | 00358432 D, E, F, J | |
| 01 (GA) | D45482GRE00 | SECURE CHOICE HEALTH |
| 01 (GA) | 105116 | PEACH STATE |
| 01 (GA) | 1451889 | UNITED HEALTH CARE |
| 01 (GA) | 157763301 | WORKERS COMP |
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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