DR. JEFF WEBER ED.D.
NPI 1073656054
Psychologist in Suwanee, GA

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
4411 SUWANEE DAM ROAD, STE. 920, SUWANEE, GA 30024(678) 714-9590(678) 714-4953 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeff Weber Ed.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFF WEBER ED.D. (NPI 1073656054) is an individual psychologist in Suwanee, Georgia, licensed in Georgia (2094) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1073656054
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JEFF WEBERCredential: ED.D.
Location Address4411 SUWANEE DAM ROAD, STE. 920Suwanee, GA 30024-8711
Mailing Address4411 Suwanee Dam Road, Ste. 920Suwanee, GA 30024-8711 · (678) 714-9590 · Fax (678) 714-4953
Fax(678) 714-4953
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1073656054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · 2094
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4411 SUWANEE DAM ROAD, Suwanee, GA 30024

Other Identifiers 3

Medicare ID-Type Unspecified68BBFHBGA · Medicare
Medicare UPIN582663314GA
Medicaid00772054EGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeff Weber Ed.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214261262
PECOS Enrollment IDI20190625000878
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
4411 SUWANEE DAM ROAD, SUITE 920
SUWANEE, GA 30024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeff Weber's NPI number?

The NPI number for Jeff Weber is 1073656054. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Jeff Weber located?

Jeff Weber practices at 4411 Suwanee Dam Road Ste. 920, Suwanee, GA 30024. The listed phone number is (678) 714-9590.

What is Jeff Weber's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeff Weber enrolled in Medicare?

Yes. Jeff Weber is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeff Weber was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.