DR. JERRY OCTAVE WEAVER (NPI# 1972760197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972760197 |
| Entity Type | Individual |
| Full Name | DR. JERRY OCTAVE WEAVER |
| Credential | M.D. |
| Practice Address |
215 Fair Oaks Rd Cedartown GA 30125-2011 |
| Practice Telephone | 7707485187 |
| Practice Fax Number | 7707483908 |
| Mailing Telephone | 7707485187 |
| Mailing Fax Number | 7707483908 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | 11502 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942506506 | Jerry Ann Weaver | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2011-01-31 |
| Street Address |
215 FAIR OAKS RD |
| City | CEDARTOWN |
| State | GA |
| Zip Code | 30125-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244607 | Ryan Ray Beck | Psychologist | 243 E. Girard Avenue, Cedartown, GA 30125 | 2008-12-30 |
| 1619156981 | Pamela Diane Hearn | Family Medicine | 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 | 2007-11-02 |
| 1962571786 | David Gandy | Dentist | 109 East Ave, Cedartown, GA 30125 | 2006-11-07 |
| 1255444519 | Cedartown Radiology Group | Radiology | 424 North Main St, Cedartown, GA 30125 | 2006-08-17 |
| 1255822771 | Hannah Bell Helton | Nurse Practitioner | 2360 Rockmart Hwy, Cedartown, GA 30125 | 2018-05-21 |
| 1417168808 | Terri Lynn Willis | Dentist | 113 Plantation Ave, Suite A, Cedartown, GA 30125 | 2007-05-25 |
| 1427193812 | Benjamin Stratman Anderson Jr. | Family Medicine | 812 S Main St, Cedartown, GA 30125-0508 | 2007-02-21 |
| 1346302387 | Mary Scott Worthington | Case Manager/Care Coordinator | 340 Lakeview Dr, Cedartown, GA 30125-2019 | 2006-12-15 |
| 1639606049 | Kayla Benton | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2017-05-16 |
| 1316309735 | Floyd Healthcare Management, Inc | Non-Pharmacy Dispensing Site | 1025 N Main St, Cedartown, GA 30125-2036 | 2016-03-24 |
| Find all providers in zip 30125 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741513 | Michael Paul Moniz | Community Health Worker | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-07-02 |
| 1174068928 | Katherine Dulworth | Community Health Worker | 740 Fletcher St, Cedartown, GA 30125-3249 | 2017-01-04 |
| 1164967915 | Patricia Johnson | Community Health Worker | 740 Fletcher St, Cedartown, GA 30125-3249 | 2017-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050724 | Tyneshia Arnold | Community Health Worker | 288 Bailey St Apt K3, Athens, GA 30605-1859 | 2020-10-09 |
| 1518572767 | Blakk Diamond | Community Health Worker | 405 Philip Blvd Apt 1305, Lawrenceville, GA 30046-8749 | 2020-09-14 |
| 1932725371 | Christina Blair | Community Health Worker | 28 Snowdon Way, Villa Rica, GA 30180-3857 | 2020-06-22 |
| 1427671940 | Linda Geiger | Community Health Worker | 4617 Chatham Ct, Evans, GA 30809-3854 | 2020-05-19 |
| 1922634336 | Zelda Younna Wilson | Community Health Worker | 14 Red Hill Church Rd, Richland, GA 31825-7514 | 2020-03-17 |
| 1659913127 | Tracy Brown-lewis | Community Health Worker | 272 Cassidy Trl, Douglasville, GA 30134-5312 | 2019-10-16 |
| 1417500794 | Kalyn L Mattis Vi | Community Health Worker | 2602 Queen Anne Ct, Atlanta, GA 30350-6300 | 2019-07-16 |
| 1679137152 | Blessed Gardenz LLC | Community Health Worker | 1161 Hacknee Ct, Lawrenceville, GA 30044-2771 | 2019-04-30 |
| 1760942353 | Elva Grimm | Community Health Worker | 790 Sweetwater Bridge Cir, Douglasville, GA 30134-5591 | 2019-03-21 |
| 1619431129 | Deborah E. Fuller | Community Health Worker | 1201 Wiloaks Dr Apt B, Snellville, GA 30039-7406 | 2019-01-29 |
| Find all providers with the same taxonomy | ||||
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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.