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

Otis Green

Individual provider Emergency Medicine Physician · NPI 1497326300

Otis Green is an Emergency Medicine in Jacksonville, Florida. Graduated from Morehouse School of Medicine in 2022, 4 years ago. Works from 7 locations. Licensed in Florida.

Years since qualifying
4
Trained at
Morehouse School of Medicine
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone: (904) 296-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 1 Shircliff Way, Jacksonville, FL 32204-4748 — (904) 308-7000
  • 9820 Hutchinson Park Dr, Jacksonville, FL 32225-7205 — (904) 450-8120
  • 8083 Parramore Rd, Jacksonville, FL 32244-5703 — (904) 450-6760
  • 1670 St Vincents Way, Middleburg, FL 32068-8447 — (904) 602-1000
  • 205 Trinity Way, Saint Johns, FL 32259-1155 — (904) 450-8120
  • 720 Westview Dr Sw, Atlanta, GA 30310-1458 — (404) 752-1500

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME180065 (FL)

Record details

NPI number1497326300
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2021
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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