Individual provider Active NPI

Robert Greaud, ARNP, NP-C

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1457613390
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3-000578 Issued in AL
Practice address
1 Perimeter Park S Ste 195a
Birmingham, AL 35243-2327
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0037691 OH
Nurse Practitioner 363L00000X APRN11015912 FL
Nurse Practitioner 363L00000X 29131 SC
Nurse Practitioner 363L00000X 1101548 TX
Nurse Practitioner 363L00000X AP06872 LA
Nurse Practitioner 363L00000X 35692 TN
Nurse Practitioner 363L00000X GAA-NP000015 GA
Nurse Practitioner 363L00000X 5020815 NC
Nurse Practitioner 363L00000X 3-000578 AL Primary

Addresses

Primary practice location

1 Perimeter Park S Ste 195a
Birmingham, AL 35243-2327

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

214 S Burnside Ave Ste A
Gonzales, LA 70737-3463
Phone (225) 647-6636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, TX, TN, NC, SC6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20220823002379 FL Practitioner - Nurse Practitioner 5799929766 Reassigns benefits to 1 organization
I20230113001818 AL Practitioner - Nurse Practitioner 5799929766 Reassigns benefits to 1 organization
I20231009000777 TX Practitioner - Nurse Practitioner 5799929766 Reassigns benefits to 1 organization
I20240416000814 TN Practitioner - Nurse Practitioner 5799929766 Reassigns benefits to 1 organization
I20241008002315 NC Practitioner - Nurse Practitioner 5799929766 Reassigns benefits to 1 organization
I20241126000398 SC Practitioner - Nurse Practitioner 5799929766 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3-000578ALMDNurse Practitioner
GAA-NP000015GAMDNurse Practitioner
5020815NCMDNurse Practitioner
29131SCMDNurse Practitioner
35692TNMDNurse Practitioner
1101548TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical NC PC CurrentSince Sep 11, 2024 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Aug 1, 2022 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Jul 20, 2023 Accepting new patients
Nephrology Management LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

3200 West End Ave
Nashville, TN 37203
Phone (615) 510-1646

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1457613390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERIMETER PARK S STE 195A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432327",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 S Burnside Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707373463",
            "country_code": "US",
            "telephone_number": "225-647-6636",
            "fax_number": "225-647-3849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREAUD",
        "first_name": "ROBERT",
        "credential": "ARNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0037691",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11015912",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "29131",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1101548",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06872",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "35692",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "GAA-NP000015",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5020815",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "3-000578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.