Individual provider Active NPI

David Hale Weems, M.D.

  • Specialist
  • Statesboro, GA
National Provider Identifier
1063443810
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
028100 Issued in GA
Practice address
27 Lester Rd
Statesboro, GA 30458-4764
Phone
(912) 764-3037
Fax
(912) 764-3829
NPI assigned
Jul 6, 2006
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14273 SC
Specialist 174400000X 028100 GA Primary

Addresses

Primary practice location

27 Lester Rd
Statesboro, GA 30458-4764

Mailing address

27 Coach Lee Hill Blvd
Statesboro, GA 30458-4764
Phone (912) 764-3037

Other identifiers 2

IdentifierTypeStateIssuer
00343813BMedicaidGA
G28100MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14273SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
South Georgia Center for Cancer Care, LLC CurrentSince Dec 17, 2023 Accepting new patients
Radiation Oncology of Savannah, P.C. Specialist PastSince Apr 12, 2006 Accepting new patients
Statesboro Oncology Assoc. Specialist PastSince Jun 1, 2008 Accepting new patients

Locations

27 Coach Lee Hill Blvd
Statesboro, GA 30458
Phone (912) 764-3037

104 Woodmont Blvd
Ste 500
Nashville, TN 37205
Phone (615) 467-7400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1063443810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COACH LEE HILL BLVD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584764",
            "telephone_number": "912-764-3037",
            "fax_number": "912-764-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 LESTER RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584764",
            "telephone_number": "912-764-3037",
            "fax_number": "912-764-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEMS",
        "first_name": "DAVID",
        "middle_name": "HALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "14273",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "028100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00343813B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G28100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.