Active NPI
Brian Greer
- Home Health Aide
- Ellenwood, GA
National Provider Identifier
1407278708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 374U00000X
- Practice address
- 195 Milam Dr
Ellenwood, GA 30294-2975 - Phone
- (770) 875-7153
- Fax
- (888) 469-0799
- NPI assigned
- Jan 6, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 372600000X | GA | |
| Home Health Aide | 374U00000X | 374U00000X | GA | Primary |
Addresses
Primary practice location
195 Milam Dr
Ellenwood, GA 30294-2975
Mailing address
195 Milam Dr
Ellenwood, GA 30294-2975
Phone (770) 875-7153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 372600000X | GA | MD | Social Worker |
| 374U00000X | GA | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Home Care LLC | Home Health Aide | Current | Accepting new patients |
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.
-
- Home Health Aide
- Jonesboro, GA
- NPI 1104330554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1407278708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 MILAM DR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942975",
"telephone_number": "770-875-7153",
"fax_number": "888-469-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 MILAM DR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942975",
"telephone_number": "770-875-7153",
"fax_number": "888-469-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREER",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "GA",
"license": "372600000X",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "GA",
"license": "374U00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.