Individual provider Active NPI

Katherine Wheat Greer, MD

  • Pediatrics Physician
  • Davenport, FL
National Provider Identifier
1306377387
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME148636 Issued in FL
Practice address
40100 Highway 27
Davenport, FL 33837-5906
Phone
(407) 975-0412
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 322126 LA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X ME148636 FL Primary

Addresses

Primary practice location

40100 Highway 27
Davenport, FL 33837-5906

Mailing address

40100 Highway 27
Davenport, FL 33837-5906
Phone (407) 975-0412

Other names 1

  • Katherine Greer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200611001109 LA Practitioner - Pediatric Medicine 1456772839 Reassigns benefits to 2 organizations
I20220516003005 FL Practitioner - Pediatric Medicine 1456772839 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322126LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Jan 8, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 8, 2022 Accepting new patients
Louisiana State University School of Med in New Orleans Faculty Grou Pediatrics CurrentSince Jul 1, 2020 Accepting new patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Jul 1, 2020 Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

2633 Napoleon Ave
Ste 707
New Orleans, LA 70115
Phone (504) 299-9980

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

Interoperability endpoints

  • Direct secure messaging: kgreer58117@adventhealth.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1306377387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40100 HIGHWAY 27",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375906",
            "telephone_number": "407-975-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40100 HIGHWAY 27",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375906",
            "telephone_number": "407-975-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "KATHERINE",
        "middle_name": "WHEAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "322126",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME148636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "GREER",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.