Organization Active NPI

Greer Healthcare and Associates., LLC

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1699969428
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREER HEALTHCARE AND ASSOCIATES., LLC
Practice address
12631 World Plaza LN
Fort Myers, FL 33907-3990
Phone
(239) 267-3377
Fax
(866) 835-7903
NPI assigned
Sep 5, 2007
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Dr. Shannon Scott Greer, D.O.NPI 1811979917
Title
Principle Officer
Phone
(239) 267-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12631 World Plaza LN
Fort Myers, FL 33907-3990

Mailing address

12631 World Plaza LN
Fort Myers, FL 33907-3990
Phone (239) 267-3377

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon.greer.1@19119.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080115000177 FL Part B Supplier - Clinic/Group Practice 8426139593 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Myers, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1086895Greer Healthcare & Associates, LLC12631 World Plaza Lane, Fort Myers, FL 33907Certificate of waiverJul 21, 2028

National Provider Directory

National Provider Directory

Locations

12631 World Plaza Ln
Fort Myers, FL 33907
Phone (239) 277-9377

12631 World Plaza Ln
Bldg 54
Fort Myers, FL 33907
Phone (786) 873-6768

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19119/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shannon.greer.1@19119.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1699969428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 WORLD PLAZA LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073990",
            "telephone_number": "239-267-3377",
            "fax_number": "866-835-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 WORLD PLAZA LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073990",
            "telephone_number": "239-267-3377",
            "fax_number": "866-835-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREER HEALTHCARE AND ASSOCIATES., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRINCIPLE OFFICER",
        "authorized_official_telephone_number": "239-267-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.greer.1@19119.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12631 World Plaza Ln",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339073990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.