Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elissa Clair Green, PA-C

Individual provider Physician Assistant · NPI 1053873273

Elissa Clair Green, PA-C is a Physician Assistant in Greensboro, North Carolina. Qualified in 2019, 7 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1313 Carolina St Ste 101
Greensboro, NC 27401-6002
Phone: (336) 235-4372
Fax: (336) 235-4381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1665 Westbrook Plaza Dr, Winston Salem, NC 27103-2993 — (336) 760-8380

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08976 (NC)

Record details

NPI number1053873273
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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