Individual provider Active NPI

Ryan Ashley Greene, M.D.

  • Psychiatry Physician
  • Spartanburg, SC
National Provider Identifier
1104231505
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
94302 Issued in SC
Practice address
391 Serpentine Dr Ste 400
Spartanburg, SC 29303-3081
Phone
(864) 560-7517
Fax
(864) 560-7520
NPI assigned
Jun 24, 2014
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD218321 OR
Psychiatry Physician 2084P0800X MD61496911 WA
Psychiatry Physician 2084P0800X 114426 MT
Psychiatry Physician 2084P0800X 71037 MN
Psychiatry Physician 2084P0800X 14924 ND
Psychiatry Physician 2084P0800X 94302 SC Primary

Addresses

Primary practice location

391 Serpentine Dr Ste 400
Spartanburg, SC 29303-3081

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other practice location 1

4700 S Washington St Ste G
Grand Forks, ND 58201-8155
Phone (701) 205-3000

Other practice location 2

1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 731-8888

Other practice location 3

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-8949

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgreene285804@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, AK, MN, TX, UT, SD, MT, WA, OR, SC, CA11 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20180604002590 ND Practitioner - Psychiatry 2668691700 Reassigns benefits to 2 organizations
I20220314000912 AK Practitioner - Psychiatry 2668691700 Reassigns benefits to 2 organizations
I20220316002584 MN Practitioner - Psychiatry 2668691700 Reassigns benefits to 3 organizations
I20220321002468 TX Practitioner - Psychiatry 2668691700 Reassigns benefits to 2 organizations
I20220411000385 UT Practitioner - Psychiatry 2668691700 Reassigns benefits to 1 organization
I20230829000767 SD Practitioner - Psychiatry 2668691700 Reassigns benefits to 1 organization
I20240516002849 MT Practitioner - Psychiatry 2668691700 Reassigns benefits to 2 organizations
I20250718003472 WA Practitioner - Psychiatry 2668691700 Reassigns benefits to 1 organization
I20250721002660 OR Practitioner - Psychiatry 2668691700 Reassigns benefits to 1 organization
I20251001004626 SC Practitioner - Psychiatry 2668691700 Reassigns benefits to 2 organizations
I20251119004117 CA Practitioner - Psychiatry 2668691700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asana Integrated Medical Group PCGroup PAC ID 0042124778, 24 clinicians
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (844) 496-9160

391 Serpentine Dr
Suite 400
Spartanburg, SC 29303-3081
Phone (864) 560-7517

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37256SCMDPharmacist
114426MTMDPsychiatry Physician
MD218321ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Astera Health Current Accepting new patients
Norton Sound Health Corporation CurrentSince Mar 1, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Spartanburg Medical Center Psychiatry CurrentSince Aug 1, 2025 Accepting new patients
Eastern Aleutian Tribes, Inc CurrentSince Oct 2, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince May 9, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince Sep 6, 2025 Accepting new patients
Astera Health CurrentSince Aug 1, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Norton Sound Health Corporation CurrentSince Mar 1, 2022 Accepting new patients
Astera Health CurrentSince Aug 1, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Sweet Memorial Nursing Home CurrentSince Apr 1, 2024 Accepting new patients
Sanford Bismarck CurrentSince Sep 30, 2025 Accepting new patients
PSJ Acquisition LLC Psychiatry CurrentSince Jul 2, 2018 Accepting new patients
Peterson Medical Clinics, LLC Psychiatry CurrentSince Mar 1, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince May 9, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
PSJ Acquisition LLC CurrentSince Jul 2, 2018 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 8, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince May 20, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Benefis Hospitals Inc CurrentSince Sep 4, 2024 Accepting new patients
Sanford Bismarck CurrentSince Sep 30, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Benefis Hospitals, Inc. CurrentSince Sep 4, 2024 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince May 20, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 8, 2025 Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Spartanburg Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Yukon-Kuskokwim Health Corporation Past Accepting new patients
Lake Country Associates, Inc. PastSince Mar 15, 2010 Accepting new patients
Southwestern Dist Health Unit Past Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Eastern Aleutian Tribes, Inc Past Accepting new patients

Locations (25 of 42)

205 E Benson Blvd
Ste 401
Anchorage, AK 99503

3380 C St
Ste 100
Anchorage, AK 99503
Phone (907) 277-1440

3380 C St
Ste 107
Anchorage, AK 99503
Phone (907) 277-1440

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

123 3rd Ave E
Ste 300
Alexandria, MN 56308

700 Cedar St
Ste 228
Alexandria, MN 56308
Phone (320) 762-3935

519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

1010 S Birch Ave
Hallock, MN 56728
Phone (218) 843-3612

205 Roosevelt Ave W
Karlstad, MN 56732
Phone (218) 436-2251

515 Bridge St
Park Rapids, MN 56470
Phone (218) 252-0066

705 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-2800

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211

401 12th St N
Wheaton, MN 56296
Phone (320) 563-8226

960 S 24th St W
Ste H
Billings, MT 59102
Phone (406) 272-2376

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021

721 Central Ave
Ste 107
Great Falls, MT 59401

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/663c4c6d-1396-44a4-b589-c11a968d4876/
  • Direct secure messaging: ragreene@direct.nshcorp.org
  • Direct secure messaging: rgreen630956@direct.centracare.com
  • Direct secure messaging: rgreene285804@direct-srhs.et0939.epichosted.com
  • Direct secure messaging: rgreene53742@benefishs.direct-ci.com

Organizations & group practices 48

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 48

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1104231505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SERPENTINE DR STE 400",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033081",
            "telephone_number": "864-560-7517",
            "fax_number": "864-560-7520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 S Washington St Ste G",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582018155",
            "country_code": "US",
            "telephone_number": "701-205-3000",
            "fax_number": "701-732-2501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 26th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055161",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-8949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "RYAN",
        "middle_name": "ASHLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD218321",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61496911",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "114426",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "71037",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ND",
            "license": "14924",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "94302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgreene285804@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rgreene285804@direct-srhs.et0939.epichosted.com",
            "address_1": "391 Serpentine Dr Ste 400",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.