Individual provider Active NPI

Todd Blake Greer, MD

  • Internal Medicine Physician
  • Duluth, GA
National Provider Identifier
1619937786
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042261 Issued in GA
Practice address
3805 Crestwood Pkwy NW Ste 350
Duluth, GA 30096-7159
Phone
(800) 991-6117
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 042261 GA
Vascular Surgery Physician 2086S0129X 036109001 IL
Vascular Surgery Physician 2086S0129X 042261 GA
Internal Medicine Physician 207R00000X 042261 GA Primary

Addresses

Primary practice location

3805 Crestwood Pkwy NW Ste 350
Duluth, GA 30096-7159

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Other names 1

  • Dr. Todd Greer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO2 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
I20051031000495 GA Practitioner - General PracticePractitioner - Peripheral Vascular Disease 6709803521 Reassigns benefits to 3 organizations
I20240520001356 CO Practitioner - Internal Medicine 6709803521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Peripheral Vascular Disease
Education
Morehouse School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Uvc Medical LLCGroup PAC ID 4284081811, 9 clinicians

Practice addresses (Care Compare)

371 E Paces Ferry Rd NE
Suite 630
Atlanta, GA 30305-2372
Phone (800) 991-6117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal644

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109001ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Phlebology PC Phlebology CurrentSince Oct 1, 2005 Accepting new patients
USA Vein Clinics of Decatur LLC Internal Medicine CurrentSince Aug 15, 2023 Accepting new patients
Colorado Medical Group, PLLC Vascular Surgery CurrentSince May 1, 2024 Accepting new patients
Georgia Uvc Medical LLC Phlebology CurrentSince Dec 1, 2023 Accepting new patients
Ohio Phlebology Professional Corporation Phlebology PastSince Sep 19, 2012 Accepting new patients
Colorado Medical Group, PLLC Vascular Surgery PastSince Oct 1, 2020 Accepting new patients
Illinois Phlebology Associates SC Phlebology PastSince Oct 1, 2011 Accepting new patients

Locations

6979 S Holly Cir
Ste 125
Centennial, CO 80112

3665 John F Kennedy Pkwy
Bldg 200
Fort Collins, CO 80525

3810 Northdale Blvd
Ste 260
Tampa, FL 33624

3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

2775 Old Milton Pkwy
Ste 200
Alpharetta, GA 30009
Phone (678) 781-8201

2775 Old Milton Pkwy
Ste 200C
Alpharetta, GA 30009
Phone (678) 273-7795

3440 Preston Ridge Rd
Ste 410
Alpharetta, GA 30005
Phone (678) 867-7155

264 19th St NW
Ste 2240
Atlanta, GA 30363
Phone (404) 532-1564

371 E Paces Ferry Rd NE
Ste 630
Atlanta, GA 30305

495 Winn Way
Ste 220
Decatur, GA 30030
Phone (404) 418-4328

3805 Crestwood Pkwy NW
Ste 350
Duluth, GA 30096

3525 Busbee Dr NW
Ste 101
Kennesaw, GA 30144

771 Old Norcross Rd
Lawrenceville, GA 30046
Phone (404) 778-6590

2001 Butterfield Rd
Ste 330
Downers Grove, IL 60515

2001 Butterfield Rd
Ste 300
Downers Grove, IL 60515
Phone (630) 725-2730

Interoperability endpoints

  • Direct secure messaging: todd.greer@uvvc.eclinicaldirectplus.com

Organizations & group practices 7

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1619937786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 CRESTWOOD PKWY NW STE 350",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300967159",
            "telephone_number": "800-991-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "TODD",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "GA",
            "license": "042261",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036109001",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "042261",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TODD",
            "last_name": "GREER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.