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

Dr. Daniel Joseph Green, MD

Individual provider Family Medicine Physician · NPI 1336130111

Dr. Daniel Joseph Green, MD is a Family Practice in Jesup, Georgia. Graduated from Medical College of Georgia School of Medicine in 2001, 25 years ago. Practices with Southland Optim Jenkins Emergency Medical Services, LLC, a 19-clinician group. Licensed in Georgia.

Years since qualifying
25
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2005
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

865 S 1st St
Jesup, GA 31545-0210
Phone: (912) 530-3176
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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 053230 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 53230 (GA)

Record details

NPI number1336130111
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 2, 2005
Last updated in NPPESAugust 22, 2016
Mailing address865 S 1st St, Jesup, GA 31545-0210

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Southland Optim Jenkins Emergency Medical Services, Llc — 19 clinicians
Accepts Medicare assignment Not indicated

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