Organization Active NPI

J. Caroline Haney-Weaver, M.D.

  • Obstetrics Physician
  • Knoxville, TN
National Provider Identifier
1154546927
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MD40791 Issued in TN
Legal business name
J. CAROLINE HANEY-WEAVER, M.D.
Practice address
930 E Emerald Ave
Suite 612
Knoxville, TN 37917-4539
Phone
(865) 673-0092
Fax
(865) 637-3443
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerrie Caroline Haney-Weaver, M.D.
Title
Solo-Pracititioner
Phone
(865) 673-0092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X MD40791 TN Primary

Addresses

Primary practice location

930 E Emerald Ave
Suite 612
Knoxville, TN 37917-4539

Mailing address

930 E Emerald Ave
Suite 612
Knoxville, TN 37917-4539
Phone (865) 673-0092

Other identifiers 2

IdentifierTypeStateIssuer
1528086097OtherTNNPI
4131926OtherTNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154546927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E EMERALD AVE",
            "address_2": "SUITE 612",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174539",
            "telephone_number": "865-673-0092",
            "fax_number": "865-637-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E EMERALD AVE",
            "address_2": "SUITE 612",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174539",
            "telephone_number": "865-673-0092",
            "fax_number": "865-637-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CAROLINE HANEY-WEAVER, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANEY-WEAVER",
        "authorized_official_first_name": "JERRIE",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "SOLO-PRACITITIONER",
        "authorized_official_telephone_number": "865-673-0092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "MD40791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528086097",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4131926",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.