Active NPI
David Michael Greer, MD
- Child & Adolescent Psychiatry Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- TN019964MD
- Practice address
- 5731 Lyons View Pike
Suite 115
Knoxville, TN 37919-6434 - Phone
- (865) 776-1023
- NPI assigned
- Jul 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | TN019964MD | TN | Primary |
Addresses
Primary practice location
5731 Lyons View Pike
Suite 115
Knoxville, TN 37919-6434
Mailing address
PO Box 11602
Knoxville, TN 37939-1602
Phone (865) 776-1023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Mississippi School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8555 Taft St
Merrillville, IN 46410-6123
Phone (219) 769-4005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN019964MD | TN | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlake Community Mental Health Center, Inc. | Current | Accepting new patients | |
| Southlake Community Mental Health Center Inc. | Current | Accepting new patients | |
| Michael Greer MD PC | Child & Adolescent Psychiatry | Past | Accepting new patients |
Locations
3903 Indianapolis Blvd
East Chicago, IN 46312
Phone (219) 392-6001
8555 Taft St
Merrillville, IN 46410
Phone (219) 736-7232
8400 Louisiana St
Merrillville, IN 46410
Phone (219) 757-1924
Interoperability endpoints
- david.greer.p1@direct.geminus.nextgenshare.com
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.
-
- Clinic/Center
- Merrillville, IN
- NPI 1821081290
-
- Child & Adolescent Psychiatry Physician
- Kingston, TN
- NPI 1093913576
-
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1477007292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469318400000",
"number": "1992903470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11602",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379391602",
"telephone_number": "865-776-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5731 LYONS VIEW PIKE",
"address_2": "SUITE 115",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379196434",
"telephone_number": "865-776-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREER",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2016-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TN",
"license": "TN019964MD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2016; 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.
- 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.