Active NPI
Tommy L Weaver, MD
- Diagnostic Radiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9300769
- Practice address
- 3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117 - Phone
- (704) 332-1291
- Fax
- (704) 926-1832
- NPI assigned
- Jul 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | ME11044 | SC | |
| Pediatric Radiology Physician | 2085P0229X | ME11044 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 07622R | LA | |
| Nuclear Radiology Physician | 2085N0904X | ME11044 | SC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME11044 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | ME11044 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 9300769 | NC | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | ME11044 | SC |
Addresses
Primary practice location
3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117
Mailing address
PO Box 221249
Charlotte, NC 28222-1249
Phone (704) 332-1291
Other practice location 1
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470
Other practice location 2
800 W Meeting St
Lancaster, SC 29720-2202
Phone (800) 922-0346
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110445 | Medicaid | SC | |
| 89063U2 | Medicaid | NC | |
| 2001 | Other | SC | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical University of South Carolina College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME11044 | SC | MD | Pediatric Radiology Physician |
| 07622R | LA | MD | Diagnostic Radiology Physician |
| 9300769 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Presbyterian Imaging Centers LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
3401 North Blvd
Ste 200
Baton Rouge, LA 70806
Phone (225) 336-3100
9001 Summa Ave
Baton Rouge, LA 70809
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
1514 Jefferson Hwy
New Orleans, LA 70121
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
1516 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 833-2337
4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
Interoperability endpoints
- tweaver794819@direct.ochsner.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1194776765
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Lockport, LA
- NPI 1598948267
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Raceland, LA
- NPI 1396761805
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1073528386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 221249",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282221249",
"telephone_number": "704-332-1291",
"fax_number": "700-926-1832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3623 LATROBE DR STE 216",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112117",
"telephone_number": "704-332-1291",
"fax_number": "704-926-1832"
}
],
"practiceLocations": [
{
"address_1": "1514 Jefferson Hwy",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701212429",
"country_code": "US",
"telephone_number": "504-842-3470",
"fax_number": "504-842-7372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 W Meeting St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "SC",
"postal_code": "297202202",
"country_code": "US",
"telephone_number": "800-922-0346",
"fax_number": "843-569-8509",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEAVER",
"first_name": "TOMMY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-29",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "SC",
"license": "ME11044",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "SC",
"license": "ME11044",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "07622R",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "SC",
"license": "ME11044",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "SC",
"license": "ME11044",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "ME11044",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "9300769",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "SC",
"license": "ME11044",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110445",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89063U2",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "2001",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.