Dalton Glenn Weaver

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

708 N Highland Ave
Jackson, TN 38301-4829

Phone

(731) 394-0071

NPI assigned

Mar 21, 2018

Last updated

Aug 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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 TN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Chattanooga Hamilton County Hospital AuthorityGroup PAC ID 0547179731, 159 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: weaver.dalton.1@31315.direct.athenahealth.com

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.

• Erlanger Health

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1477256303
  Medicare reassignment Care Compare group NPD
• Chattanooga Hamilton County Hospital Authority

  dba UT Erlanger Health Network

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1154751931
  Medicare reassignment Care Compare group NPD (past)
• Chattanooga Hamilton County Hospital Authority

  dba Erlanger Bledsoe Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Pikeville, TN
  • NPI 1073622007
  NPD
• Chattanooga Hamilton County Hospital Authority

  dba Dodson Avenue Community Health

  • Federally Qualified Health Center (FQHC)
  • Chattanooga, TN
  • NPI 1609961549
  NPD
• Freeman Health Partners Medical Services, PC

  • Adult Medicine Physician
  • Dickson, TN
  • NPI 1205549094
  NPD (past)
• The Grove Behavorial Health Services, Inc

  • Mental Health Counselor
  • Jackson, TN
  • NPI 1366009441
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Erlanger Health

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1861194086
  Care Compare affiliation

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1104320308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E LAFAYETTE ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016203",
            "telephone_number": "731-300-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014829",
            "telephone_number": "731-394-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DALTON",
        "middle_name": "GLENN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE VOLUNTEER MUTUAL INSURANCE COMPANY (SVMIC)",
            "identifier": "028076",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Elizabeth Watson
• Brittnie Weatherford Bird
• Andrew T Weatherford, PHARM. D
• Shonda Weathers, CASE MANAGER
• Christopher D Weaver, RN
• Sandra Weaver, CRNA
• Steven Glenn Weaver, MD
• April Webb
• Bradley Webb, MD
• Dorothy Webb, LPN

• Physician Assistant in Jackson, TN
• Providers in Jackson, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.