OrganizationActive
Daniel Green MD
NPI 1598834087 · Internal Medicine Physician · Dyersburg, TN
Provider details
- NPI number
- 1598834087
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Green, Owner Director(731) 285-2324
- License
- 5993 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
305 E Tickle St
Dyersburg, TN 38024-3117
Phone: (731) 285-2324
Fax: (731) 660-8739
Street-level locationGet directions
Mailing address
1804 Highway 45 Byp
Jackson, TN 38305-4436
Other names (DBA / former)
- Doing business as
- Lake County Internal Medicine Clinic
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.