Healthcare Provider Details

I. General information

NPI: 1215604236
Provider Name (Legal Business Name): GREEN VALLEY HOSPITAL MEDICINE PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 LONE OAK RD
PADUCAH KY
42003-7901
US

IV. Provider business mailing address

400 GALLERIA PKWY SE STE 960
ATLANTA GA
30339-5980
US

V. Phone/Fax

Practice location:
  • Phone: 271-444-2444
  • Fax:
Mailing address:
  • Phone: 404-500-8147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. BOYKIN ROBINSON
Title or Position: CEO
Credential: MD
Phone: 404-500-8147