Active NPI
Maxwell Greenman, M.D.
- Ophthalmology Physician
- Charlotte, NC
National Provider Identifier
1184628901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 18873
- Practice address
- 2801 Randolph Rd
Ste 200
Charlotte, NC 28211-1047 - Phone
- (704) 375-2101
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 18873 | NC | Primary |
Addresses
Primary practice location
2801 Randolph Rd
Ste 200
Charlotte, NC 28211-1047
Mailing address
2801 Randolph Rd
Ste 200
Charlotte, NC 28211-1047
Phone (704) 375-2101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8937154 | Medicaid | NC | |
| 365373 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18873 | NC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenman Eye Associates PLLC | Ophthalmology | Current | Accepting new patients |
Locations
2801 Randolph Rd
Ste 200
Charlotte, NC 28211
Phone (704) 375-2101
Interoperability endpoints
- mgreenman@greenman.intellechartdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Charlotte, NC
- NPI 1801853270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1184628901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 RANDOLPH RD",
"address_2": "STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111047",
"telephone_number": "704-375-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 RANDOLPH RD",
"address_2": "STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111047",
"telephone_number": "704-375-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENMAN",
"first_name": "MAXWELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "18873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8937154",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "365373",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.