Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Edward Green, MD

Diagnostic Radiology Physician in Jackson, MS · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073719803

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Registry record

Entity type Individual (Type 1)

Name Edward Green

Credential MD

Sex Male

Practice address Jackson, MS, 39216

Phone (601) 200-6162

Enumeration date Jun 27, 2007

Last updated in NPPES Oct 6, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 135313 (NC) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 17833 (MS) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
512I360002	Other	MS	PTAN
179024	Medicaid	AL	-
P01195515	Other	MS	RAILROAD MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Edward Green?

Edward Green is registered in NPPES with the primary taxonomy of Diagnostic Radiology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Bobby Graham Hospice and Palliative Medicine (Internal Medicine) Physician · Jackson, MS NPI 1205831666 Jpa Pathology, P.A. Anatomic Pathology & Clinical Pathology Physician · Jackson, MS NPI 1104824309 Eric Mcvey Infectious Disease Physician · Jackson, MS NPI 1467433995 Andrew Smyth Diagnostic Radiology Physician · Jackson, MS NPI 1982689816 John Hancock Anatomic Pathology & Clinical Pathology Physician · Jackson, MS NPI 1720067994 Diana Stulc Family Medicine Physician · Jackson, MS NPI 1225002165 John Payne Internal Medicine Physician · Jackson, MS NPI 1760451991 Regency Hospital of Jackson, LLC Long Term Care Hospital · Jackson, MS NPI 1851357925

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-06.