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

Mark S Green, PA

Individual provider Physician Assistant · NPI 1396736336

Mark S Green, PA is a Physician Assistant in Lexington, South Carolina. Qualified in 1990, 36 years ago. Practices with Prisma Health Urgent Care of South Carolina PC, a 156-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
36
Licensed in
GA, SC
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1847 S Lake Dr
Lexington, SC 29073-7759
Phone: (803) 356-8998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7613 Garners Ferry Rd, Columbia, SC 29209-3811 — (839) 600-9190
  • 10040 Two Notch Rd, Columbia, SC 29223-4396 — (803) 788-1153

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 560 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 002321 (GA)

Record details

NPI number1396736336
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Prisma Health Urgent Care Of South Carolina Pc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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