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

Individual provider Physician Assistant · NPI 1912979584

Mr. Jeffrey Michael Green, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 1997, 29 years ago. Practices with Seven Bridges Pain Specialists LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Licensed in
FL
In the registry since
2006
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

4745 Sutton Park Ct Ste 501
Jacksonville, FL 32224-0251
Phone: (904) 503-5464
Fax: (904) 575-4399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2023 Myra St, Jacksonville, FL 32204-3714 — (904) 503-5464

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3530 (FL)

Record details

NPI number1912979584
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Seven Bridges Pain Specialists Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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