DR. JERRIE CAROLINE HANEY-WEAVER (NPI# 1528086097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528086097 |
| Entity Type | Individual |
| Full Name | DR. JERRIE CAROLINE HANEY-WEAVER |
| Credential | M.D. |
| Practice Address |
501 19th Street Suite 509 Knoxville TN 37916-1853 |
| Practice Telephone | 8655243208 |
| Practice Fax Number | 8655224322 |
| Mailing Telephone | 8655243208 |
| Mailing Fax Number | 8655224322 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
40791 | TN | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD40791 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | GROUP NPI NUMBER | 1154546927 | 01 |
| BLUE CROSS BLUE SHIELD | 4131926 | 01 | |
| TN | 3832868 | 05 |
| Street Address |
501 19TH STREET SUITE 509 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194712265 | Geoffrey C. Kincaid | Obstetrics & Gynecology | 501 19th Street, Suite 509, Knoxville, TN 37916-1853 | 2005-10-04 |
| 1104256031 | Caroline Foster Vaughn | Registered Nurse | 501 19th Street, Suite 509, Knoxville, TN 37916-1853 | 2013-11-13 |
| 1619182078 | Shannon Hill Shelley | Advanced Practice Midwife | 501 19th Street, Suite 509, Knoxville, TN 37916-1853 | 2007-05-11 |
| 1275747024 | Katherine Elizabeth Eastham | Advanced Practice Midwife | 501 19th Street, Suite 509, Knoxville, TN 37916-1853 | 2007-05-10 |
| 1982784807 | Erin Johnson Saunders | Obstetrics & Gynecology | 501 19th Street, Suite 509, Knoxville, TN 37916-1853 | 2006-10-16 |
| 1063525236 | Fort Sanders Obstetrical and Gynecological Group, P.C. | Obstetrics & Gynecology | 501 19th Street, Suite 509, Knoxville, TN 37916-1853 | 2006-08-15 |
| 1518981562 | Thomas Edmonds Morgan | Obstetrics & Gynecology | 501 19th Street, Suite 509, Knoxville, TN 37916-1853 | 2006-07-26 |
| 1033130018 | Roy Cox Broady | Obstetrics & Gynecology | 501 19th Street, Suite 509, Knoxville, TN 37916-1853 | 2006-07-22 |
| 1184645160 | Laura Ellen Moffat | Obstetrics & Gynecology | 501 19th Street, Suite 509, Knoxville, TN 37916-1853 | 2006-07-22 |
| 1417978404 | Donna Lynn Shine | Obstetrics & Gynecology | 501 19th Street, Suite 509, Knoxville, TN 37916-1853 | 2006-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
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| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275584716 | Kenneth R O'kelley | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-12 |
| 1154546927 | J. Caroline Haney-weaver, M.d. | Obstetrics & Gynecology | 930 E Emerald Ave, Suite 612, Knoxville, TN 37917-4539 | 2007-04-16 |
| 1699798884 | Robert K Tatum | Obstetrics & Gynecology | 10810 Parkside Dr Ste 100, Knoxville, TN 37934-1980 | 2006-07-26 |
| 1205857430 | East Tennessee Regional Ob/gyn Associates PC | Obstetrics & Gynecology | 939 Emerald Ave, Suite 805, Knoxville, TN 37917-4502 | 2006-07-22 |
| 1659325322 | Lionel D Mccollum | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699161117 | Heather Michelle Wherry | Obstetrics & Gynecology | 7705 Poplar Ave Bldg B, Germantown, TN 38138-3930 | 2015-04-10 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1265766877 | Obstetrics and Medicine Pllc | Obstetrics & Gynecology | 6005 Park Ave Ste 310, Memphis, TN 38119-5213 | 2009-09-29 |
| 1003880493 | John Sindos Adams Sr. | Obstetrics & Gynecology | 929 Spring Creek Road, Suite 104, Chattanooga, TN 37412-3974 | 2006-02-14 |
| 1538162748 | Alfonzo S Arze | Obstetrics & Gynecology | 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604 | 2005-05-23 |
| 1275186504 | Tessa B Eckhardt | Obstetrics & Gynecology | 6845 Mountain View Rd, Ooltewah, TN 37363-6561 | 2019-07-16 |
| 1346641156 | Mistye Taylor Md Pllc | Obstetrics & Gynecology | 300 Stonecrest Blvd, 490, Smyrna, TN 37167-5688 | 2014-09-11 |
| 1588083943 | Stephanie Dallas | Obstetrics & Gynecology | 1161 21st Ave S, R-1214 Mcn, Nashville, TN 37232-2521 | 2014-04-15 |
| 1720407182 | Kreg Gosta Jonson | Obstetrics & Gynecology | 1511 Gunbarrel Rd Ste 111, Chattanooga, TN 37421-3897 | 2014-04-14 |
| 1104242262 | Stephanie Huskins | Obstetrics & Gynecology | 6845 Mountain View Rd, Ooltewah, TN 37363-6561 | 2014-03-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.