Collin Blain Green
NPI 1578373494ActiveIndividual· Nurse Practitioner· Charleston, SC
Nurse Practitioner in Charleston, South Carolina, trained at University of South Carolina School of Medicine (class of 2025). Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1578373494 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 13, 2025 |
| Last updated in NPPES | Oct 28, 2025 |
| Certified by provider | Oct 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 30874 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (SC) |
|---|
Education and affiliations
| Medical school | University of South Carolina School of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 230 nurse practitioners in Charleston · All nurse practitioners in South Carolina