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

Xander Lee Green, AA

Individual provider Anesthesiologist Assistant · NPI 1780160424

Xander Lee Green, AA is an Anesthesiology Assistant in Tallahassee, Florida. Qualified in 2018, 8 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone: (850) 431-1155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 12153 (GA)

Record details

NPI number1780160424
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedJuly 16, 2018
Last updated in NPPESMarch 8, 2024
Certification dateMarch 5, 2024
Mailing address914 Addie Ln, Middleburg, FL 32068-3300

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tallahassee