DR. JAMES DANIEL WEATHERS M.D. NPI 1003011958
Preventive Medicine (Public Health & General Preventive Medicine) in Statesboro, GA
About JAMES WEATHERS
James Weathers is a provider established in Statesboro, Georgia and his medical specialization is preventive medicine (public health & general preventive medicine) . The NPI number of James Weathers is 1003011958 and was assigned on June 2007. The practitioner's primary taxonomy code is 2083P0901X with license number GA 017901 (GA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
James Weathers is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1003011958 |
| Provider Name | DR. JAMES DANIEL WEATHERS M.D. |
| Provider Location Address | 213 SAVANNAH AVE STATESBORO, GA 30458 |
| Provider Mailing Address | 213 SAVANNAH AVE STATESBORO, GA 30458 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 06-20-2007 |
| Last Update Date | 02-02-2012 |
Primary Taxonomy
| Taxonomy Code | 2083P0901X |
| Classification | Preventive Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Public Health & General Preventive Medicine |
| License No. | GA 017901 |
| License State | GA |
| Taxonomy Description | Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
Business Address
DR. JAMES DANIEL WEATHERS M.D.
213 SAVANNAH AVE
STATESBORO, GA
ZIP 30458
Phone: (912) 681-9292
Fax: (866) 811-9195
Mailing Address
DR. JAMES DANIEL WEATHERS M.D.
213 SAVANNAH AVE
STATESBORO, GA
ZIP 30458
Phone: (912) 681-9292
Fax: (866) 811-9195
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 017901 | GA | No | |
Taxonomy Description: an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. | |||||||
| 2 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | Addiction Medicine | 017901 | GA | No |
Taxonomy Description: an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| C23242 | MEDICARE UPIN (02) | GA |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.