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

Thomas Justin Green Jr., MD

Individual provider Body Imaging Physician · NPI 1942207709

Thomas Justin Green Jr., MD is an Interventional Radiology in Daytona Beach, Florida. Qualified in 1997, 29 years ago. Practices with Radiology Imaging Associates LLC, a 181-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Georgia and Virginia.

Years since qualifying
29
Licensed in
FL, GA, VA
In the registry since
2005
Specialties on file
10
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1673 Mason Ave Ste 305
Daytona Beach, FL 32117-5515
Phone: (386) 274-7118
Fax: (386) 274-6173
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 400 Health Park Blvd, St Augustine, FL 32086-5784 — (904) 819-5155
  • 743 Spring St Ne, Gainesville, GA 30501-3715 — (770) 219-9000
  • 2300 Opitz Blvd, Woodbridge, VA 22191-3311 — (732) 763-9253

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101102736 (VA)
Body Imaging Physician Taxonomy 2085B0100X · Licence ME 86894 (FL)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence ME 86894 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 103916 (GA)
Therapeutic Radiology Physician Taxonomy 2085R0203X · Licence ME 86894 (FL)
Neuroradiology Physician Taxonomy 2085N0700X · Licence ME 86894 (FL)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence ME 86894 (FL)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence ME 86894 (FL)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence ME86894 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME86894 (FL)

Record details

NPI number1942207709
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Radiology Imaging Associates Llc — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations25 on file with Medicare

Other providers in Daytona Beach