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

Dr. Kerry Scott Green, MD

Individual provider Family Medicine Physician · NPI 1801835350

Dr. Kerry Scott Green, MD is a Family Practice in Mesa, Arizona. Graduated from Wayne State University School of Medicine in 2000, 26 years ago. Practices with Kerry S Green MD PLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
26
Trained at
Wayne State University School of Medicine
Licensed in
AZ
In the registry since
2006
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

6112 E Brown Rd
Mesa, AZ 85205-4955
Phone: (480) 924-4422
Fax: (480) 924-8822
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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 29662 (AZ)

Record details

NPI number1801835350
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 6, 2006
Last updated in NPPESOctober 25, 2011

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Kerry S Green Md Plc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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