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

Dr. Clyde O. Green, MD

Individual provider Family Medicine Physician · NPI 1417178187

Dr. Clyde O. Green, MD is a Family Practice in Macon, Georgia. Graduated from Howard University College of Medicine in 1986, 40 years ago. Practices with Omni Health Solutions LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
40
Trained at
Howard University College of Medicine
Licensed in
GA
In the registry since
2007
Specialties on file
2
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

841 Mulberry St
Macon, GA 31201-6756
Phone: (478) 741-6554
Fax: (478) 743-7052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 30072 (GA)
Hospice and Palliative Medicine (Family Medicine) Physician Taxonomy 207QH0002X · Licence 30072 (GA)

Record details

NPI number1417178187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2007
Last updated in NPPESJanuary 21, 2015

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Omni Health Solutions Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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