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

Dr. Robert L. Green, MD

Individual provider Specialist · NPI 1558386706

Dr. Robert L. Green, MD is a Diagnostic Radiology in Valdosta, Georgia. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1983, 43 years ago. Practices with Sgmc Affiliated Services LLC, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Virginia.

Years since qualifying
43
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
GA, VA
In the registry since
2006
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

2501 N Patterson St
Valdosta, GA 31602-1735
Phone: (229) 433-1000
Fax: (706) 596-6723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 113 Nationwide Dr, Lynchburg, VA 24502-4272 — (434) 237-4004

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 082121 (GA)
Specialist Taxonomy 174400000X · Licence 0101042362 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 82121 (GA)

Record details

NPI number1558386706
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing addressPo Box 1524, Columbus, GA 31902-1524

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Sgmc Affiliated Services Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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