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

Dr. Clyde O. Green, MD

Family Medicine Physician in Macon, GA · enumerated 2007.

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

National Provider Identifier

1417178187

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Registry record

Entity type Individual (Type 1)

Name Dr. Clyde O. Green

Credential MD

Sex Male

Practice address Macon, GA, 31201

Phone (478) 741-6554

Fax (478) 743-7052

Enumeration date May 1, 2007

Last updated in NPPES Jan 21, 2015

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

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 30072 (GA) Primary

207QH0002X Hospice and Palliative Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 30072 (GA) Secondary

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
157763300	Other	GA	WORKER COMP
324341	Other	GA	WELLCARE
508457	Other	GA	BLUE CROSS BLUE SHIELD
157763302	Other	GA	WORKERS COMP
00358432 D, E, F, J	Medicaid	GA	-
D45482GRE00	Other	GA	SECURE CHOICE HEALTH
105116	Other	GA	PEACH STATE
1451889	Other	GA	UNITED HEALTH CARE
157763301	Other	GA	WORKERS COMP

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 NPI 1417178187 active?

Yes, as of the latest NPPES snapshot, NPI 1417178187 is active (record last updated 2015-01-21).

How do I verify Clyde Green's NPI record?

Cross-check NPI 1417178187 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Omni Health Solutions LLC Family Medicine Physician · Macon, GA NPI 1356363287 Infinity Laboratory Clinical Medical Laboratory · Macon, GA NPI 1528125648 S.Dekalb Foot & Ankle Surgical Ctr Podiatric Clinic/Center · Macon, GA NPI 1265638381 American Home Care & Medical Services Home Health Agency · Macon, GA NPI 1992966790 S.E. Family Foot & Ankle Center LLC Podiatrist · Macon, GA NPI 1922238047 Family Foot and Ankle Center Foot Surgery Podiatrist · Macon, GA NPI 1306183280 Dorothy Thomas Family Nurse Practitioner · Macon, GA NPI 1104298900

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-21.