What is Dwayne Green's NPI number?

Dwayne Green's National Provider Identifier (NPI) is 1114697679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dwayne Green's specialty?

Dwayne Green is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Dwayne Green located?

Dwayne Green's practice location on file with NPPES is Stark County Tasc, Inc., Canton, OH 44702-1017.

What is Dwayne Green's phone number?

The practice phone number listed in the NPPES registry for Dwayne Green is (330) 479-1912.

Is Dwayne Green's NPI active?

Yes — Dwayne Green's NPI (1114697679) is active in the NPPES registry as of the last update on 2021-09-16.

IndividualActive

Dwayne Green, PS-A

NPI 1114697679 · Peer Specialist · Canton, OH

Dwayne Green, PS-A is a Peer Specialist provider in Canton, OH (NPI 1114697679).

Provider details

NPI number: 1114697679
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Credential: PS-A
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

Stark County Tasc, Inc.

624 Market Ave North

Canton, OH 44702-1017

Phone: (330) 479-1912

Approximate (ZIP-level) locationGet directions

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Mailing address