Individual provider Active NPI

Brandi Greeson, CRNP

  • Family Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1982169470
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-099566 Issued in AL
Practice address
2699 Sandlin Rd SW Ste B8
Decatur, AL 35601-7343
Phone
(256) 301-0560
Fax
(256) 301-0563
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 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 1-099566 AL Primary

Addresses

Primary practice location

2699 Sandlin Rd SW Ste B8
Decatur, AL 35601-7343

Mailing address

2699 Sandlin Rd SW Ste B8
Decatur, AL 35601-7343
Phone (256) 301-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190522002596 AL Practitioner - Nurse Practitioner 5991048571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alabama Institute for Sleep Health LLCGroup PAC ID 2264815653, 6 clinicians

Practice addresses (Care Compare)

1803 Park View Dr NE
Cullman, AL 35058-3618
Phone (256) 739-7050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-099566ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Institute for Sleep Health, LLC CurrentSince Aug 1, 2024 Accepting new patients
Comprehensive Kidney Disease Center, LLC Past Accepting new patients

Locations

1803 Park View Dr
Cullman, AL 35058
Phone (256) 737-8000

333 Whitesport Dr SW
Ste 205
Huntsville, AL 35801
Phone (256) 489-3007

Organizations & group practices 2

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1982169470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 SANDLIN RD SW STE B8",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356017343",
            "telephone_number": "256-301-0560",
            "fax_number": "256-301-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 SANDLIN RD SW STE B8",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356017343",
            "telephone_number": "256-301-0560",
            "fax_number": "256-301-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREESON",
        "first_name": "BRANDI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-099566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.