Willie E. Greer, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

05788 Issued in MS

Practice address

1314 19TH Ave
Meridian, MS 39301-4116

Phone

(601) 703-9260

Fax

(601) 703-4050

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Anderson Physician Alliance, Inc.

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1760798227
  Medicare reassignment NPD
• Medical Services of Meridian, Inc.

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1174095988

  MS

  Medicare reassignment NPD
• Urology Clinic of Meridian, P.a.

  • Urology Physician
  • Meridian, MS
  • NPI 1912088295
  NPD
• Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  NPD (past)
• Mississippi Band of Choctaw Indians

  • Ambulance
  • Choctaw, MS
  • NPI 1548358153
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1922080522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749215",
            "fax_number": "601-703-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-703-9260",
            "fax_number": "601-703-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 22nd Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393013223",
            "country_code": "US",
            "telephone_number": "601-703-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREER",
        "first_name": "WILLIE",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "05788",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "05788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123320",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00147063",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AL",
            "identifier": "730-14246",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009966405",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Green
• Ashley Greenway, RPH
• Hope Greer, PMHNP
• Kelsey W. Greer
• Thomas H Greer Jr., M.D.
• Gregory a. Auzenne MD, PA
• Angela Gressett
• Denise Grice
• Juakita L. Grice, LPC
• Daphnel L Griffin

• Emergency Medicine Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.