Otis Green
NPI 1497326300 · Emergency Medicine Physician · Jacksonville, FL
Enrolled with Medicare as Order and Referring Only - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Otis Green is a Emergency Medicine Physician provider in Jacksonville, FL (NPI 1497326300).
Provider details
- NPI number
- 1497326300
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- ME180065 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
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
Mailing address
Additional practice locations (6)
- 8083 Parramore RdJacksonville, FL 32244-5703Phone: (904) 450-6760
- 9820 Hutchinson Park DrJacksonville, FL 32225-7205Phone: (904) 450-8120
- 1 Shircliff WayJacksonville, FL 32204-4748Phone: (904) 308-7000
- 1670 St Vincents WayMiddleburg, FL 32068-8447Phone: (904) 602-1000
- 205 Trinity WaySaint Johns, FL 32259-1155Phone: (904) 450-8120
- 720 Westview Dr SwAtlanta, GA 30310-1458Phone: (404) 752-1500
Registry dates
- Enumerated
- 2021-07-02
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Frequently asked questions
- What is Otis Green's NPI number?
- Otis Green's National Provider Identifier (NPI) is 1497326300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Otis Green's specialty?
- Otis Green is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Otis Green located?
- Otis Green's practice location on file with NPPES is 4201 Belfort Rd, Jacksonville, FL 32216-1431.
- What is Otis Green's phone number?
- The practice phone number listed in the NPPES registry for Otis Green is (904) 296-3700.
- Does Otis Green accept Medicare?
- Otis Green is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Otis Green's NPI active?
- Yes — Otis Green's NPI (1497326300) is active in the NPPES registry as of the last update on 2026-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.