Braden Greer

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

27832 Issued in TN

Practice address

311 Lafayette St
Senatobia, MS 38668-1908

Phone

(662) 292-4218

NPI assigned

May 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifelinc Anesthesia VIII PLLC

  • Anesthesiology Physician
  • Newport, TN
  • NPI 1679265052

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment Care Compare group NPD
• American Anesthesiology of Tennessee, P.C.

  • Anesthesiology Physician
  • Knoxville, TN
  • NPI 1609822998

  TN

  Medicare reassignment Care Compare group

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifelinc Anesthesia VIII PLLC 155 clinicians

American Anesthesiology of Tennessee PC 296 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1831712967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LAFAYETTE ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386681908",
            "telephone_number": "662-292-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LAFAYETTE ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386681908",
            "telephone_number": "662-292-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "BRADEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-23",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "256866",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "27832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Michelle Goode, M.S., C.R.C.
• Kelly Denise Grace, FNP-C
• Grant Eye Care, LLC
• Jared Acker Grant, O.D.
• James Gregory Graves, D.M.D.
• Jeremy Harville, ATC
• Kenneth Wayne Hawkins Jr., MSN, FNP
• Lara J Hayes, M.ED., LPC
• Jennifer Michelle Heindl, FNP-C
• Hernando Family Medical Clinic, LLC

• All providers in Senatobia, MS
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.