Larry Wayne Greer, MD
Individual provider Active NPI Diagnostic Radiology Physician · Boaz, AL
NPI 1285679266 · NPPES record last updated Jul 9, 2012
Key facts
- NPI
- 1285679266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 10548 (AL)
- Practice address
- 2505 US Highway 431
Boaz, AL 35957-5908 - Phone
- (256) 840-3480
- Fax
- (256) 840-3626
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Alabama School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marshall Radiology PC
Practice addresses (Care Compare)
2505 US Hwy 431
Boaz, AL 35957-5908
Phone (256) 593-8310
8000 Al Hwy 69
Guntersville, AL 35976-7140
Phone (256) 571-8000
Hospital & facility affiliations
- Marshall Medical Centers
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060915000457 | AL | Practitioner - Diagnostic Radiology | 2062433451 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10548 | AL | MD | Diagnostic Radiology Physician |
Practice roles (3 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Radiology PC | Diagnostic Radiology | Current |
Accepting new patients |
| Asheville MRI | Diagnostic Radiology | Past | Accepting new patients |
| Springhill Diagnostic Radiologists, P.C. | Specialist | Past | Accepting new patients |
Locations
4198 US Highway 431
Ste B
Albertville, AL 35950
Phone (256) 486-2300
2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061
8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000
Networks
- bcbs alabama network 01B0
- bcbs alabama network 01G0
- bcbs alabama network 01E0
- bcbs alabama network 01A0
- bcbs alabama network 01H0
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 10548 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | 10548 | AL | Yes |
Addresses
Primary practice location
2505 US Highway 431
Boaz, AL 35957-5908
Mailing address
PO Box 1164
Dalton, GA 30722-1164
Phone (706) 271-0100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051557776 | Medicaid | AL |
Other providers in Boaz, AL
- Jennifer Giddens
- Corey Gilliland
- Go Medical Corporation PC
- Go Medical Corporation PC
- Rommel C Go
- Amye Willis Groves
- Christopher Gray Gulledge
- Michael Revere Hallenbeck
- Jonathan Hannah
- Maan Samir Harb
All providers in Boaz, AL · Diagnostic Radiology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.