Jeff Weber, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2094 Issued in GA

Practice address

4411 Suwanee Dam Road
Ste. 920
Suwanee, GA 30024-8711

Phone

(678) 714-9590

Fax

(678) 714-4953

NPI assigned

Feb 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Focus Forward Counseling and Consulting, IncGroup PAC ID 9436325727, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Focus Forward Counseling and Consulting, Inc

  • Professional Counselor
  • Cumming, GA
  • NPI 1912138710
  Medicare reassignment Care Compare group NPD
• Jeff Weber, Ed.D., P.C.

  • Psychologist
  • Suwanee, GA
  • NPI 1245566603
  NPD (past)
• Mary Grace Thomas, PH.D.,P.C.

  • Psychologist
  • Suwanee, GA
  • NPI 1073848891
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073656054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM ROAD",
            "address_2": "STE. 920",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248711",
            "telephone_number": "678-714-9590",
            "fax_number": "678-714-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM ROAD",
            "address_2": "STE. 920",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248711",
            "telephone_number": "678-714-9590",
            "fax_number": "678-714-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "2094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00772054E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Joiner Watson, PA
• Pamela P Watson, NP C
• Melina Weaver, RBT
• Cynthia Dulane Webb, PH.D.
• Matthew K Webb, PT, DPT
• Liza Amanda Weber
• Dennitra G Weeden, D.C.
• Wellness One of Suwanee
• Wellnyss Inc (FYZICAL Therapy & Balance Centers)
• Wellstreet of Georgia PC (Piedmont Urgent Care by Wellstreet)

• Psychologist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.