P Praxis·MD
● Active Type 1 · Individual

DR. Robert L. Green, M.D.

Radiology·Valdosta, GA· NPI 1558386706 · Enumerated 2006 · 19 years on NPI
Green is 1 of 13 radiology providers in Valdosta and 1 of 1280 in Georgia.
NPI age
19 years
Enumerated 2006-07-12
Primary specialty
Radiology
Plus 2 subspecialties
Licensed in
GA, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
2501 N Patterson St
Valdosta, GA 316021735
📞 2294331000fax 7065966723
Mailing address
Po Box 1524
Columbus, GA 319021524
📞 8008414236fax 7065966723

Additional practice locations

1 secondary location on file with NPPES.

Location 2
113 Nationwide Dr
Lynchburg, VA 245024272
📞 4342374004fax 4342374450

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #082121GA license #82121 taxonomy 2085R0202X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    VA license #0101042362 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (GA) 003218661A
05 (VA) 7251505
05 (VA) 7206941
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 194 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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