Individual provider Active NPI

Charles Stewart Greeson, MD

  • Diagnostic Radiology Physician
  • Zachary, LA
National Provider Identifier
1295788040
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
010621 Issued in LA
Practice address
6300 Main St
Zachary, LA 70791-4037
Phone
(225) 658-4000
Fax
(225) 763-9997
NPI assigned
May 19, 2006
Last updated
May 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 010621 LA
Diagnostic Radiology Physician 2085R0202X 010621 LA Primary

Addresses

Primary practice location

6300 Main St
Zachary, LA 70791-4037

Mailing address

PO Box 84110
Baton Rouge, LA 70884-4110
Phone (225) 675-8363

Other practice location 1

5266 Commerce St
Saint Francisville, LA 70775-4409
Phone (225) 635-3811

Other identifiers 1

IdentifierTypeStateIssuer
1301337MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS, MD, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040413001160 LA Practitioner - Diagnostic Radiology 6002800992 Reassigns benefits to 8 organizations
1 other NPI on this enrollment
I20061121000383 MS Practitioner - Diagnostic Radiology 6002800992 Reassigns benefits to 2 organizations
1 other NPI on this enrollment
I20250521000418 MD Practitioner - Diagnostic Radiology 6002800992 Reassigns benefits to 2 organizations
1 other NPI on this enrollment
I20250521000941 DC Practitioner - Diagnostic Radiology 6002800992 Reassigns benefits to 2 organizations
1 other NPI on this enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Radiology Specialty Group LLCGroup PAC ID 1254435894, 2 clinicians
Radiology Associates LLCGroup PAC ID 8628041464, 83 clinicians

Practice addresses (Care Compare)

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

3704 N Blvd
Alexandria, LA 71301-3658
Phone (318) 545-4038

4231 Hwy 1192
Marksville, LA 71351-4711
Phone (888) 554-8444

4603 Whitechapel Blvd
Alexandria, LA 71303-2947
Phone (703) 558-1400

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 757-0552

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (410) 581-1200

5601 Loch Raven Blvd Russel
Ste2
Baltimore, MD 21239-2945
Phone (443) 444-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10621LAMDPharmacist
010621LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince May 8, 2025 Accepting new patients
Allegiance Hospital of Many,LLC CurrentSince Apr 8, 2022 Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince May 1, 2007 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
CLHG-Ville Platte LLC Diagnostic Radiology CurrentSince Jan 17, 2022 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
CLHG-Ville Platte LLC CurrentSince Jan 17, 2022 Accepting new patients
Field Memorial Community Hospital CurrentSince Aug 31, 2006 Accepting new patients
Allegiance Hospital of Many, LLC CurrentSince Apr 8, 2022 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
CLHG-Acadian, LLC CurrentSince Jan 7, 2022 Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince May 1, 2007 Accepting new patients
Radiology Associates LLC Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology Current Accepting new patients
Field Memorial Community Hospital CurrentSince Aug 31, 2006 Accepting new patients
Field Memorial Community Hospital Current Accepting new patients
CLHG-Acadian LLC Diagnostic Radiology CurrentSince Jan 7, 2022 Accepting new patients
Stone County Hospital, Inc Past Accepting new patients
Allegiance Hospital of Many, LLC Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3007 Tilden St NW
Ste 5N
Washington, DC 20008

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

12060 Texas Hwy
#3
Many, LA 71449
Phone (318) 256-9002

240 Highland Dr
Many, LA 71449
Phone (318) 256-5691

1100 N 18th St
Ste 100
Monroe, LA 71201
Phone (318) 361-9900

5266 Commerce St
St Francisvle, LA 70775
Phone (225) 635-3811

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

5454 Wisconsin Ave
Ste 1100
Chevy Chase, MD 20815
Phone (855) 546-1872

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750

178 Highway 24 E
Centreville, MS 39631
Phone (601) 645-5221

178 Highway 24 E
Ste B
Centreville, MS 39631
Phone (601) 835-0077

260 W Main St
Centreville, MS 39631
Phone (601) 645-5088

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

Organizations & group practices 25

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 25

Hospital & facility affiliations 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1295788040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708844110",
            "telephone_number": "225-675-8363",
            "fax_number": "225-675-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 MAIN ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914037",
            "telephone_number": "225-658-4000",
            "fax_number": "225-763-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5266 Commerce St",
            "address_purpose": "LOCATION",
            "city": "Saint Francisville",
            "state": "LA",
            "postal_code": "707754409",
            "country_code": "US",
            "telephone_number": "225-635-3811",
            "fax_number": "225-763-9997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREESON",
        "first_name": "CHARLES",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "010621",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "010621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301337",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.