Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alia Deyira Green, MD

Individual provider Family Medicine Physician · NPI 1508509092

Alia Deyira Green, MD is a Family Practice in Tallahassee, Florida. Qualified in 2018, 8 years ago. Practices with Patients First Lake Ella Medical Center P A, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Florida.

Years since qualifying
8
Licensed in
AR, FL
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone: (850) 325-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1125 N College Ave, Fayetteville, AR 72703-1908 — (479) 521-8260

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME171017 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence E-17218 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508509092
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2022
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Patients First Lake Ella Medical Center P A — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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