Individual provider Active NPI

Deborah Laine Greer, FNP-C

  • Family Nurse Practitioner
  • Galax, VA
National Provider Identifier
1801483524
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002418078 Issued in VA
Practice address
104 Cranberry Rd Ste 200a
Galax, VA 24333-0009
Phone
(276) 236-9953
Fax
(276) 236-6084
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002418078 VA Primary

Addresses

Primary practice location

104 Cranberry Rd Ste 200a
Galax, VA 24333-0009

Mailing address

122 Robinhood Rd
Galax, VA 24333-3404
Phone (276) 233-6704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210114002356 VA Practitioner - Nurse Practitioner 0042623852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002418078VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC Current Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Mar 1, 2021 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

104 Cranberry Rd
Ste 200A
Galax, VA 24333
Phone (276) 236-9953

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

Organizations & group practices 3

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1801483524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ROBINHOOD RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243333404",
            "telephone_number": "276-233-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CRANBERRY RD STE 200A",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243330009",
            "telephone_number": "276-236-9953",
            "fax_number": "276-236-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "DEBORAH",
        "middle_name": "LAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "002418078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.