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

Edward Green, MD

Individual provider Diagnostic Radiology Physician · NPI 1073719803

Edward Green, MD is a Nuclear Medicine in Jackson, Mississippi. Graduated from University of Arkansas College of Medicine in 2001, 25 years ago. Practices with Lakeland Radiologists P A, a 29-clinician group and accepts Medicare assignment. Licensed in Mississippi and North Carolina.

Years since qualifying
25
Trained at
University of Arkansas College of Medicine
Licensed in
MS, NC
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

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-6162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 17833 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 135313 (NC)

Record details

NPI number1073719803
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2007
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022
Mailing addressPo Box 23073, Jackson, MS 39225-3073

Medicare enrollment

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

Medicare specialtyNUCLEAR MEDICINE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Lakeland Radiologists P A — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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