Active NPIIndividual provider

Donnielle L Green, DO

Internal Medicine in Shelby, North Carolina

NPI Number1073620530
Practice location
951 Wendover Height Dr, Shelby, NC 28150-3565
Fax
704-887-6450
Last updated
September 5, 2025

Donnielle Lynn Green is an Internal Medicine based in Shelby, NC. Donnielle Lynn Green practices in Shelby, NC and has the professional credentials of DO. The NPI Number for Donnielle Lynn Green is 1073620530 and holds a License No. 894 (SC). The current practice location address for Donnielle Lynn Green is 951 Wendover Height Dr, Shelby, NC 28150-3565 and can be reached out via phone at 704-487-4677 and via fax at 704-887-6450.

Provider Profile Details

NPI Number
1073620530
Provider Name
Donnielle Lynn Green
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
951 Wendover Height Dr, Shelby, NC 28150-3565
Phone Number
704-487-4677
Fax Number
704-887-6450
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2006
Last Update Date
September 5, 2025
Certification Date
September 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
951 Wendover Height Dr
Shelby, NC 28150-3565
City
Shelby
Zip
28150-3565
Phone Number
704-487-4677
Fax Number
704-887-6450
Shelby, NC 28150Get directions →

Provider Business Mailing Address Details

Address
Po Box 470408
Charlotte, NC 28247-0408
City
Charlotte
State
NC
Zip
28247-0408
Phone Number
704-375-0100

License Information

License Number (1)
894
License State (1)
SC
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
2012-01587
License State (2)
NC
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Donnielle L Green, DO?

The NPI number of Donnielle L Green, DO is 1073620530. It was assigned on August 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Donnielle L Green, DO?

Donnielle L Green, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in SC under license number 894.

Where does Donnielle L Green, DO practice?

The practice location is 951 Wendover Height Dr, Shelby, NC 28150-3565. The office can be reached at 704-487-4677 (phone) or 704-887-6450 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073620530 directly on the NPPES registry website.

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